Kids Bible Program no charge - Westminster Presbyterian Church Bull Creek

MEDIEVAL MANIA Kids Bible Program is an activity of the Westminster Presbyterian Church Bull Creek. The activities include but are not limited to: craft, STEM, games, kids' talk from the Bible, singing & morning tea. Admin fee waived.

Child's First Name *

Child's Last Name *

Preferred Name

Gender *

Male
Female

Date of Birth *

School Year *

Name of School attending *

Parent/Guardian Name *

Parent's Mobile Number *

Parent's Email *

Where did you hear about KBP? *

Which School?

Emergency Medical Details

Does you child have any allergies or medical issues we should be aware of? *

Yes
No

Please list relevant medical conditions and/or allergies *

How severe is the allergy or condition? *

Low
Medium
Severe

Emergency Contact #1

Name of FIRST Emergency Contact *

First

Last

Phone *

Relationship to child *

Emergency Contact #2

Name of SECOND Emergency Contact *

First

Last

Phone *

Relationship to child *

Children will be placed in groups. If your child has a friend they would like to be in a group with, please let us know and we will try to accommodate them. *

Friday Lunch with Families (Parents to Accompany Children - lunch follows 12:30pm pick up)

To help with catering, please let us know how many adults and children will be attending (please only answer once if you've submitted forms for multiple children). Please also note that children cannot stay without parental supervision / a parent as we cannot provide supervision during the lunch. Please include all children registered in the total number below:

Adults: *

Children: *

Permissions

I give permission for photos/videos of my child to be used in the program as highlights of the day or in WPCBC church services. *

Yes
No

I give permission for WPCBC to use my email address to provide details of future children's holiday events and other WPCBC events *

Yes
No

I agree that I /my child will abide by the rules, guidelines and instructions given by Kids Bible Program Leaders

I accept all forseeable risks associated with my child participating in Kids Bible Program activities

I authorise Kids Bible Program, where it is impractical to communicate with me, to arrange emergency medical treatment for my child, including an ambulance if deemed necessary.

I agree that I will be responsible for any costs incurred on behalf of me/my child due to a medical emergency, accident or misdemeanor whilst attending Kids Bible Program activities

Parent/Guardian Signature *

Clear Signature

In signing this permission slip, I agree that the information given by me in this form is current, true and correct and understand that failure to disclose new or amended information will be at my own risk.

Date *