Kids Church Registration 2019

Gosford Presbyterian Church

Sunday Morning Children's Ministries

Please complete one Registration Form per child

Child's Details

School Grade in 2019?

Custody Orders?

1st Parent / Carer's Contact Details

2nd Parent / Carer's Contact Details

(NB. 2nd Parent/ Carer's Details are not essential, but if provided will be used as a secondary contact should the 1st parent be unavailable).

Medical Details

Does your child have any of the following conditions? If so, please specify.

Emergency Contact Details


I give permission for the following people other than myself to pick up my child from this program. (Please enter name and contact number)

Permissions for contact and photos/ videos

General Information.

Administration of Medicines and Medical Emergencies

I understand that no medications will be administered to my child during the program unless I specifically request and authorise such administration. I understand that it is my responsibility to provide any such medication.

I authorise the leaders of this program, in the event of an emergency, to obtain at my expense any medical, ambulance or similar services. I understand that this authorisation will not be used unless I am unable to be contacted at the time of the emergency, or am unable to give permission at that time.

Unacceptable Behaviour

I accept that any unacceptable behaviour on the part of my child may result in my child being temporarily or permanently prohibited from attending this program.

Correctness of Information

I confirm that the information contained on this Registration Form is true and correct. 
I agree that I will ensure that any changes to this information are advised in writing as soon as possible. 

Privacy and Child Protection

Any personal and sensitive information collected will be kept confidential and used only for purposes relating to the spiritual, pastoral, social, educational, administrative, legal and historical functions of the Church in accordance with the PCNSW‘s Privacy Policy. Your acceptance of this written advice will be regarded as your consent to collect and so use the information as described. If you do not consent please advise the Children’s Ministry leaders immediately. A copy of the PCNSW‘s Privacy Policy is available on request from the GPC Session Clerk.

The Children’s Ministry leadership team is bound by the Code of Conduct as specified in the “Breaking the Silence” procedures of the Presbyterian Church of NSW.