Insight Registration 2023

This form provides Dundas Telopea Anglican Church with your permission for your child/childrens' attendance at our Friday night youth ministry, Insight. Insight meets from 7:00pm-9:15pm at the Tara Junior School. This form must be completed for all persons under 18 years and is effective from 1st January to 31st December 2023 and covers all regular Insight activities.

Privacy Declaration

Dundas Telopea Anglican Church is exempt from the requirements of the Privacy Act 1988 (Cth) as it is a “small business”. However, we seek to deal carefully and confidentially with the personal information we collect and to do so in a manner consistent with your reasonable expectations.

The personal information in this form will be made available to –

(a) the Children and Youth leaders involved in the running of the activities in which my child participates, and

(b) medical and emergency services if considered necessary.

Parent/Caregiver Contact Information

Parent's First Names *

Email Address *

Last Name *

Mobile Number *

Home Address

Home Address Line 2

Home City

Home Postcode

Home State

Emergency Contact Details

Emergency Contact Name *

Emergency Contact Number (other than listed above) *

Child 1

First Name *

Date of Birth *

Gender *

Last name *

School Grade

Allergies

Tip: Please provide details and any medication your child carries with them

Any special needs (Diet, Allergies, Disability, Behavioural, other)?

Child 2

Do you need to add a second child?

First Name *

Date of Birth *

Gender *

Last Name *

School Grade

Allergies

Tip: Please provide details and any medication your child carries with them

Any special needs (Diet, Allergies, Disability, Behavioural, other)?

Child 3

Do you need to add a third child?

First Name *

Date of Birth *

Gender

Last Name *

School Grade

Allergies

Tip: Please provide details and any medication your child carries with them

Any special needs (Diet, Allergies, Disability, Behavioural, other)?

Additional information

Do you have any person/persons not permitted to contact or collect your child/children while in our care?

Tip: Please provide further details

Anything else helpful we need to know?

Tip: For example, any struggles which may affect their participation in Insight, or anything we can do to support them.

Permissions

I give permission for my child/children to attend all scheduled Insight activities, unless I advise the Youth leaders otherwise *

I give permission for my child/children to travel in a car driven by an approved Youth leader or a parent approved by a Youth leader unless I advise the Youth leaders otherwise. *

Tip: Your child will not be in a car driven by a learner or provisional licence holder.

I authorise the Youth leaders, in the event of an emergency, to obtain at my expense any medical, ambulance, rescue or other services that are considered necessary for my child/children. *

I acknowledge that being part of a community involves mutual care and consideration, and therefore agree that unacceptable behaviour may result in my child/children being sent home and being temporarily or permanently prohibited from attending Insight. *

I give permission for photos and video footage to be taken of my child/children for use in promotional material. *

I give permission for photos or videos of my child/children to be posted on the official Insight Instagram or Facebook pages. *

I confirm that the information given in this form is true and correct, and will advise Dundas Telopea Anglican Church of any changes to this information. *