A Registration Form must be completed for each child.

Child's Details

Tip: This number will be used for emergency contact during the service.

Does your child have any allergies / medical conditions / special circumstances we need to be aware of?

Please note: you may be required to complete a 'medical condition/allergy action plan' to assist us in caring for your child during children's ministry programs or activities.

Tip: Are there any special care arrangements we need to know i.e. court orders or restricted access?

If you have ticked any of the boxes above, we require a documentation (such as Medical Action Plan and/or Behavioural Support Plan), please upload a copy of that plan by clicking here.
Thank you

Parent / Guardian Contact Details

The person who is responsible for the child whilst attending Berwick Church of Christ Kids Church program must complete this section.

IMPORTANT NOTE: if we require you to come and assist your child during the Kids Church program, will be contacted via text message on your mobile phone.

Parent / Guardian 1

Parent / Guardian 2

Address Details

CONSENT

By completing this Form and submitting it, means you have read the following and give consent and permission to Berwick Church of Christ as follows:

I consent to my child becoming a member of Berwick Church of Christ Children's Ministry, and consent to the activities my child will engage in while attending Children's Ministry programs and activities. I acknowledge the staff and volunteers of Berwick Church of Christ Children's Ministry will take all possible care but will not be held responsible for any unforeseen accident, illness or loss of property arising.
I consent that in the event of any illness or accident, for the employing of medical or hospital assistance as my child requires. I understand that I shall be notified as soon as practicable should such an incident occur. I accept the responsibility for payment of any expenses incurred for such assistance.
If during a Berwick Church of Christ Children's Ministry program or activity my child's behaviour is deemed by Berwick Church of Christ Children's Ministry staff or volunteers to be inappropriate or compromising the safety of other children or volunteers, I understand that I will be contacted as soon as practicable and my child may be removed from the program or activity as necessary.

Tip: Children's Registration Form completed on

I give permission to Berwick Church of Christ to photograph or video my child and to use his/her image, photograph or video in printed or digital materials, on the Church website produced by the Berwick Church of Christ and any of its related ministries.  We DO NOT include the name of your child or "tag" them.  Possible uses include, but are not limited to, reports, promotional videos and multimedia presentations. Please also note, we will contact you directly if we would like to use your child's photograph for promotional purposes or participation in videos (e.g. family news advertising a kids event).

Drop Off and Pick Up Times

I agree: 

  • to sign in my child for Kids Church between 8:50am - 9:30am for the 9am session, and to pick up my child at 10:15am or as soon possible after the church service concludes. 
  • to sign in my child for Kids Church between 10:50am - 11:30am for the 11am session and to pick up my child at 12:15pm or as soon as possible after the church service concludes. 

I also agree that once my child is signed in to Kids Church he/she will be taken directly to the designated room.