• Children's Week After School Art Program

    Children's Week After School Art Program

    Parent/Carer Permission Form

  • Please complete the registration form for each child attending the program. The information we collect is required to manage risk, provide reasonable care and administer your child's involvement in the program. Information is kept confidential and only provided to those involved in the activities. (eg. First Aid, Coaches, Instructors and Communities for Children).

  • Date of Birth*
     - -
    2 digit day, 2 digit month, 4 digit year
  • Format: 0000000000.
  • Do you identify as Aboriginal and/or Torres Strait Islander?

  • EMERGENCY CONTACT/AUTHORISED PERSON:

  • Format: 0000000000.

  • MEDICAL INFORMATION

  • Will you child need to take any medication during the program/s?*
  • I permit photographs to be taken and used for Kids and Teens in the Valley and Communities for Children. No names will be used on social media/newsletters.*
  • Would you like to know about other Kids and Teens in the Valley programs and activities happening throughout the year?*
  • CONSENT*
  • Date
     / /
    2 digit day, 2 digit month, 4 digit year

  • If you have any questions, please email us on info@ktvtas.com

     

     

     

     

     

     

     

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