Holiday Club - INSIDE OUT • Shellharbour Community Church

Holiday Club - INSIDE OUT

12 July, 2022 10:00 AM - 2:00 PM

Type

Price

Quantity

Child

Price
$10.00

Quantity

Enter discount code

Child 0

Child's Details

First Name *

Last Name *

Date of Birth *

Gender *

Mobile Number

Parent/Guardian Contact Details

Parent Name *

Parent Relationship *

Parent Contact Number *

Parent Email

Child's Health Details

Does your child have any allergies?

Does your child have special dietary requirements?

Does your child have asthma? (if yes, we require an asthma action plan from your doctor)

Does your child suffer from epilepsy?

Does your child have any other ongoing medical conditions?

Does your child have regular medication?

Does your child have any special needs?

Is there anything else about your child that you feel will help us while they are in our care?

Authorisation from Parent/Guardian - Please tick all relevant boxes before submitting

Permission for communication

I give permission for Shellharbour Community Church to contact me from time to time via text messages and/or email.

Permission for application of sunscreen

I agree to the application of sunscreen on my child/ren when they participate in outdoor activities.

Agreement of exclusion

I agree to keep my child/ren at home within 48 hours of him/her having diarrhoea, vomiting or fever

I will not send my child to Kids Club with any known infectious illness

I agree to collect my child from Kids Club if the leader feels that they are not well enough to be in attendance

Medical assistance in case of an emergency

I understand that, in the case of an emergency, the a Kids Club leader will endeavour to contact the child's parent/guardian. If they are unable to contact the parent/guardian, I authorize the Team Leader to arrange for my child/ren to receive basic first aid by a first aid officer and/or in serious cases call an ambulance.

Involvement

I am the parent/guardian of the child/ren and I give consent for my child/ren to participate in the activities provided whilst in the Kids Club.

Photography & video consent

I give my consent for my child/ren to be captured in both video and photography in Kids Club and the right to use this material for social media, promotional material and other purposes.

Supervising policy

I understand that no child will be allowed to leave the Kids Club unless they are collected by their parent/guardian.