Splash Kids Club Registration Form - 2025 • Macquarie Anglican

Tell us about your child

First Name *

Last Name *

School Grade (Splash is for school grade 1-5 only) *

Tip: We accept Kindy from Term 3.

Does your child have any medical conditions/allergies we should know about? (if none leave blank)

Tip: i.e. chronic illness, allergies, dietary restrictions, medication we should know about?

Is there anyone who is legally restricted from seeing your child? (if none leave blank)

Tip: Please alert our sign-in team if you provide details here

Need to register another child? There a buttom at the bottom to easily register additional children.

Family and Emergency Contact Details

Parent/Caregiver 1

Family Contact 1 - relationship *

Full Name *

Preferred phone number *

Tip: Providing a mobile number is helpful as it allows us to send updates by SMS and the Splash WhatsApp group

Email Address *

Parent/Caregiver 2

Family Contact 2 - relationship

Full Name

Preferred phone number

Emergency Contact (alternative to parent(s)/caregiver(s))

Emergency Contact - relationship *

Full Name *

Preferred phone number *

Privacy Declaration

Macquarie Anglican Church respects your privacy. When you provide us with personal information by participating in church events/activities, visiting a website or otherwise, you agree to personal information about you and your children (under 18 years old) being handled as set out in the privacy policy (available on our website). The personal information in this form will be made available to the Splash leaders, and medical and emergency services if considered necessary.

Authorisations and Expectations

I permit my child to participate in activities associated with Splash in 2025 (2 May - 12 Dec 2025) at Macquarie Anglican.

I authorise the Splash leaders, in the event of an emergency, to obtain at my expense any medical, ambulance, rescue or other services that are considered necessary for my child.

I understand photos/video may be taken of my child while participating at Splash, which may displayed at Splash or within other Macquarie Anglican activities. Photos would not be published online without my consent.

I understand children attending Splash must be signed in and out by the Family/Emergency Contacts listed above. I will notify the Splash leaders (at the sign in desk) if another adults will be picking up my child.

I confirm that the information given in this form is correct, and will advise Splash leaders (at the sign in desk) of any changes to this information.

Acceptance of conditions *

Yes that's fine!

No - I'd like to discuss this with one of the ministry staff

Your name *