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Child registration form for Sunday gatherings
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13
Questions
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1
Name of your child:
*
This field is required.
First Name
Last Name
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2
DOB of your child:
So that we can keep track of ages and cater for our children accordingly.
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3
Gender of your child:
Male
Female
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4
Does your child have any allergies?
*
This field is required.
Yes
No
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5
If yes, please list your child's allergies:
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6
Parent/Guardian/Carer's Name:
*
This field is required.
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7
Best Phone Number for Parent/Guardian/Carer:
*
This field is required.
For contacting parents during the Gathering if needed.
Area Code
Phone Number
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8
Email of Parent/Guardian/Carer:
So we can contact a second person if we cannot get on to the first.
example@example.com
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9
Parent/Guardian/Carer's Name #2:
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10
Best Phone Number for Parent/Guardian/Carer #2:
For contacting parents during the Gathering if needed.
Area Code
Phone Number
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11
Email of Parent/Guardian/Carer #2:
So we can contact a second person if we cannot get on to the first.
example@example.com
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12
Photo/video release permission:
*
This field is required.
Do you, the parent or legal guardian of the minor (child), give your permission for Soma Blue Mountains to use photographs and/or videos of your minor for Facebook, Instagram, somabluemountains.org.au and other platforms of social media?
YES
NO
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13
Is there anything else we should know about your child?
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