Join Alive Kids
Student information
Name
*
First Name
Last Name
Date of birth
*
/
Day
/
Month
Year
Date
Address
*
Street Address
Street Address Line 2
City
State
Postal Code
School Year
*
Please Select
Foundation
Prep
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Year 8
Year 9
Year 10
Sex
*
Male
Female
Allergies
*
No allergies
Yes
Allergen information
Add another child
*
No
Yes
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2. Student information
Name
*
First Name
Last Name
Date of birth
*
/
Day
/
Month
Year
Date
Address
*
Street Address
Street Address Line 2
City
State
Postal Code
School Year
*
Please Select
Foundation
Prep
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Year 8
Year 9
Year 10
Sex
*
Male
Female
Allergies
*
No allergies
Yes
Allergen information
Add another child
*
No
Yes
Back
Next
3. Student information
Name
*
First Name
Last Name
Date of birth
*
/
Day
/
Month
Year
Date
Address
*
Street Address
Street Address Line 2
City
State
Postal Code
School Year
*
Please Select
Foundation
Prep
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Year 8
Year 9
Year 10
Sex
*
Male
Female
Allergies
*
No allergies
Yes
Allergen information
Add another child
*
No
Yes
Back
Next
4. Student information
Name
*
First Name
Last Name
Date of birth
*
/
Day
/
Month
Year
Date
Address
*
Street Address
Street Address Line 2
City
State
Postal Code
School Year
*
Please Select
Foundation
Prep
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Year 8
Year 9
Year 10
Sex
*
Male
Female
Allergies
*
No allergies
Yes
Allergen information
Add another child
*
No
Yes
Back
Next
5. Student information
Name
*
First Name
Last Name
Date of birth
*
/
Day
/
Month
Year
Date
Address
*
Street Address
Street Address Line 2
City
State
Postal Code
School Year
*
Please Select
Foundation
Prep
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Year 8
Year 9
Year 10
Sex
*
Male
Female
Allergies
*
No allergies
Yes
Allergen information
Add another child
*
No
Yes
Back
Next
6. Student information
Name
*
First Name
Last Name
Date of birth
*
/
Day
/
Month
Year
Date
Address
*
Street Address
Street Address Line 2
City
State
Postal Code
School Year
*
Please Select
Foundation
Prep
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Year 8
Year 9
Year 10
Sex
*
Male
Female
Allergies
*
No allergies
Yes
Allergen information
Add another child
*
No
Yes
Back
Next
7. Student information
Name
*
First Name
Last Name
Date of birth
*
/
Day
/
Month
Year
Date
Address
*
Street Address
Street Address Line 2
City
State
Postal Code
School Year
*
Please Select
Foundation
Prep
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Year 8
Year 9
Year 10
Sex
*
Male
Female
Allergies
*
No allergies
Yes
Allergen information
Add another child
*
No
Yes
Back
Next
Parent/Guardian information
Parent / Guardian : Full Name
*
First Name
Last Name
Parent / Guardian : Phone Number
*
Please enter a valid phone number.
Parent / Guardian : Email
*
example@example.com
Parent / Guardian : Address
*
Same as above
Different address
Address
Street Address
Street Address Line 2
City
State
Postal Code
Parent / Guardian 2 : Full Name
First Name
Last Name
Parent / Guardian 2 : Phone Number
Please enter a valid phone number.
Parent / Guardian 2 : Email
example@example.com
Parent / Guardian 2 : Address
Same as above
Different address
Address
Street Address
Street Address Line 2
City
State
Postal Code
Back
Next
Permissions
Alive kids currently uses WhatsApp to communicate to students and their parents / guardians. Would you like to be added to the Alive Kids WhatsApp group?
*
Both parents / guardians
Parent / Guardian 1 only
Parent / Guardian 2 only
No
As you've indicated that you would NOT like to be added to the WhatsApp group, what would be the best alternative to provide you with updates at Alive Kids?
*
Email
SMS
Do you authorise the Alive Kids team to provide any medical treatment / first aid for your child / children, if necessary?
*
Yes
No
At Alive Church events, we take pictures and videos of all our activities. We may use this content on promotional materials such as brochures, flyers, websites or social media posts. Do you provide permission to use the media content involving your child/children for the above-mentioned purposes?
*
Yes
No
Would you like to register your Kids for Alive Sparks kids?
*
Yes
No
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