KAW 2024

Form
Kids Activity Week Rego Form 2024
Have you previously completed a registration form for 2024 for your child/ren?*

YesNo
Please enter your child/ren name and then complete PAYMENT for any days you are now registering them for.
Select how many children you are registering
Child 1*

First NameLast Name
Date of Birth*

MonthDayYear
Date
School Year*

KinderYear 1Year 2Year 3Year 4Year 5Year 6
School attends:*
Child 2*

First NameLast Name
Date of Birth*

MonthDayYear
Date
School Year*

KinderYear 1Year 2Year 3Year 4Year 5Year 6
School attends:*
Child 3*

First NameLast Name
Date of Birth*

MonthDayYear
Date
School Year*

KinderYear 1Year 2Year 3Year 4Year 5Year 6
School attends:*
Child 4*

First NameLast Name
Date of Birth*

MonthDayYear
Date
School Year*

KinderYear 1Year 2Year 3Year 4Year 5Year 6
School attends:*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Information*

First NameLast Name
Email*
example@example.com
Contact Phone Number*
Please enter a valid phone number.
Emergency Contact (different contact to parent/guardian information already listed)*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.
Relationship*

ParentGrandparentFamily RelativeFamily Friend
Is there anything we need to know about your child/ren? (such as allergies or medications)
Media Declaration
Photos and/or videos may be taken of your child/ren during KAW. You have given your permission for these to be used for Swansea Baptist Church's social media and future promotions by registering your child/ren. Please note that we do not use names unless permission has been sought prior.
Medical treatment declaration
Please note that all care is taken with your child/ren during KAW. Basic first aid may be performed on site and medical professionals will be contacted as required with consultation with primary care giver.
Child's Name

First NameLast Name
Child's Name

First NameLast Name
Child's Name

First NameLast Name
Child's Name

First NameLast Name

Tickets (select No. of children per day)

Monday

$10.00AUD Quantity

Tuesday

$10.00AUD Quantity

Wednesday

$10.00AUD Quantity

Thursday

$10.00AUD Quantity

Friday

$10.00AUD Quantity

Total

$0.00AUD

Credit Card

Please ensure you complete the payment before submitting form. KAW is a cashless event. You can also pay at Swansea Baptist Church Square Site for further days.
Should be Empty:

Form

Kids Activity Week Rego Form 2024

Please enter your child/ren name and then complete PAYMENT for any days you are now registering them for.

Media Declaration

Medical treatment declaration

Credit Card