• October 2026 School Holiday Activities Expression of Interest

    October 2026 School Holiday Activities Expression of Interest

    Parent/Carer Permission Form

  • 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/children need to take any medication during the program/s?*
  • I permit photographs to be taken and used for Kids & Teens in the Valley. No names will be used on social media/newsletters.*
  • Would you like to know about other Kids & 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

     

     

     

     

     

     

  • Should be Empty: