Radi8 Registration Form Term 4 2019

Radi8 Registration Form

Term 4 2019
You are registering for Radi8!

An activities based group for children in years 4-6 that runs on the following Friday evenings from 6-7:30pm.

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In term 4, 2019 there will be 4 events:

25th Oct - Pizza and movie night

8th Nov - Water Relay

29th Nov - Gingerbread house construction

25th Dec - Christmas Day services 9am

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Participant Information
Child's Name*

First NameLast Name
Grade*
Parent/Guardian Information
Parent/Guardian Name*

First NameLast Name
Home Number

Area CodePhone Number
Mobile number*
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E-mail*
Emergency Information
Emergency Contact's Name*

First NameLast Name
Relationship to child
Phone Number*
Alt. Phone Number
Does your child have any allergies, chronic illness, or medical conditions? If yes, please describe.
Dinner will be provided. Please specify dietary requirements here.
Is your child prescribed an inhaler? If yes, please explain any instructions.
Which events will you be attending?

To simplify the registration process we'll assume you are attending all the events. However, we understand that you may not be available for a few of them and that is ok.
Informed Consent and Acknowledgement

By submitting this form I give my approval for my child’s participation in activities prepared by Radi8 (Trinity Church Unley) while under their care at each of the different events checked above.

I understand that in the case of an accident or emergency my child will recieve first aid from a designated first aid officer and an ambulance may be called where deemed necessary.

I understand that I my child must be signed in and out of the Radi8 program by my myself or an adult I deligate this to.
Privacy

All the information recorded on this form is collected and managed in accordance with the Anglican Church Privacy Policy. This information has been collected for the primary purpose of running and managing Radi8 events through our church office and will not be given out, sold, or used for any other purpose.

Photography: At this stage we have no intention of taking photos of any children. If this changes we will seek written concent from parents/caregivers.

If you have any questions about how this information will be used or stored please contact our office at unley@trinity.org.au
We will confirm your registration via email and provide further details about each event in the week prior.

For more information please email unley@trinity.org.au
Confirmation

BY SUBMITTING THIS FORM I GIVE CONSENT FOR MY CHILD TO PARTICIPATE IN THE RADI8 EVENTS SELECTED ABOVE. I HAVE READ AND ACCEPTED THE ABOVE PRIVACY AND CENCENT STATEMENTS.
Should be Empty:

Radi8 Registration Form

We will confirm your registration via email and provide further details about each event in the week prior.