Kids Enrolment Form 2024 • Prince of Peace Lutheran Church

Kid's Connect Enrolment Form

This form enrols your child to participate in Kids Connect at Worship@9 and any other Kids activities at Prince of Peace Luthearn Church.
Please enter CHILDS NAME and details but Please put PHONE and EMAIL address of CARE-GIVER and not the child. We will use this to send any program updates etc.

Child's Details

First Name *

Preferred Name

Last Name

Gender

Date of Birth *

School

School Name

School Grade

Allergies

Other Relevant Info

Permissions:

I consent to my child taking part in the approved program of activities of Prince of Peace Church

Yes

I give my permission for my child to be photographed or on livestream. I understand that the image may be displayed in the church publications or website. I understand that as a precaution my childs name will not be published or linked with photograph.

Yes

Parent or Guardian Contact Details

Primary Contact (Name)

Relationship to Child

Primary Contact (Mobile)

Email Address

Emergency Contact (Name)

Emergency Contact (Mobile)

Prohibited Persons *

Tip: Is there anyone not permitted to interact with your child or pick them up from programs?