MAC Youth Registration Form - 2017

Thanks for your interest in MAC Youth at Macquarie Anglican! Please fill out this form to register your child for this group for 2017.

Child's Details

Tip: For program updates

Tip: For program updates

Medical and Care Needs

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

Tip: i.e. behavioural concerns or restrictions, mental health needs (i.e. depression), etc.

Family and Emergency Contact Details

Parent/Caregiver 1

Tip: Providing a mobile number is helpful as it allows us to send updates by SMS

Parent/Caregiver 2

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

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 policy (available on our website). The personal information in this form will be made available to the MAC Youth leaders, and medical and emergency services if considered necessary.

Authorisations and Expectations

By accepting these conditions and submitting this form I permit my child to participate fully in activities associated with MAC Youth from the 1st January 2017 - 31st December 2017 at Macquarie Anglican.

In a medical emergency, I give my permission for a doctor chosen by a Macquarie Anglican leader to secure proper treatment for and/or order hospitalisation, injection, anaesthetic or surgery for my child as named. I understand that every effort will be made to contact me prior to instituting such procedures.

I also acknowledge and agree that any photographs or video of my child taken while participating in MAC Youth may be used by the church to promote further children’s activities (i.e. during a church service,  on church premises).

I understand that children attending MAC Youth must be signed in and out weekly by a parent/authorised adult. I agree to notify the MAC Youth leaders of the names of any other authorised adults who can pick up my child.

I confirm that the information given in this form is correct, and will advise MAC Youth of any changes to this information.