Please complete this registration form so that we have all the information we need to best care for your child whilst they are at Kingsley Youth.

Child Information

Tip: If selecting Other Allergy/Other Medical, please include details in field directly below.

Child Information 2

Tip: If selecting Other Allergy/Other Medical, please include details in field directly below.

Child Information 3

Tip: If selecting Other Allergy/Other Medical, please include details in field directly below.

Responsible Adult Contact Information

Tip: (optional)

Tip: Please select all that apply

Responsible Adult Contact Information 2

Tip: (optional)

Tip: Please select all that apply

Other helpful information

Fees

Kingsley Youth attendance fees can be paid weekly or per term. Fees are as follows:

$4 per week per child

$30 - upfront for 1 child for the term

$50 - upfront for 2 or more children for the term

 

Weekly fees can be paid by cash or card at Youth on a Friday night.

Upfront fees can be paid by cash or card at Youth on a Friday night or can be paid online via EFT or credit card. Online payment details will be emailed out once registration has been confirmed.

If required, alternative payment arrangements can be organised after the registration confirmation email has been sent out.

Consent

The Church may from time to time record video or images of services & activities for promotional, teaching & information purposes. By attending church services & church activities you consent to the church taking the video & images and using & disclosing them for such purposes.

By submitting this form, I acknowledge that although all care and supervision is taken, the leaders are free from responsibility for any accident, injury or illness arising in the course of activities. In the Event of any accident, injury or illness, the leaders are authorised to obtain necessary medical assistance, for which I will meet all expenses.