YOUTH REGISTRATION FORM

Full Name: ______Age: ______

Home Address: ______

City: ______State: ______Post Code: ______

Mobile: ______Email: ______

Parent/Guardian(s) Name: (if under 18yrs) ______

Contact Phone No: ______Home No: ______

Emergency Contact:

Name: ______

Phone Number: ______Relationship to participant: ______

Purpose of Seaview Youth Group Meetings: are meant to foster community, build spirituality, and provide social and service opportunities for our youth.

Youth Events:a listof events and activities can be found on our website the Church newsletter, youth newsletter, and our Youth Group Facebook page and email reminders. We will endeavour to have a list given out at the start of each term.

Typical Activities: Meetings might include large and small group discussion, activities such as games (indoor and outdoor), bonfires, viewing educational, spiritual, or recreational media materials, prayers, appropriate music, movies. Snacks and beverages are sometimes included.

Permissions

I give permission for my child ______to participate in SeaviewYouth group activities on Seaview Community Church Premises (79 Seacombe Road, Seacombe Gardens). As well as any pre-planned events/activities outside of these premises.

Transport

I agree to allow my child to be transported to and from events and activities by a fully licensed driver. (Parents will be informed when these events will occur).

YES / NO

Behavioural

Is there any behavioural information that the leadership / volunteers co-ordinating the youth group activities should be aware of?

YES / NO(this will allow us to better cater for an individual child’s needs)

If yes please give a written description in the space provided below:

______

______

______

Other information

Is there any other information that the leadership / volunteers co-ordinating the youth group activities should be aware of?

YES / NO

If yes please give a written description in the space provided below:

______

______

______

Liability Agreement

Seaview Community Church has a duty of care policy, OHS, and taken safety measures to minimize the risk of injury or incident to participants at our events and activities. With this in mind, within any youth activity certain hazards and dangers are, by nature, inherent. By signing this form I acknowledge that although Seaview Community church has taken all safety measures to minimize the risk of injury to participants, Seaview Community Church cannot guarantee that the participants, equipment, premises, and/or activities will be free from hazards, accidents, and/or injuries.

In consideration of Seaview Community Church, by signing this form I am permitting my child to participate in this and future activities, I agree that Seaview Community Church, an incorporated association, its officers, employees, and screened volunteers will not be liable for any injury, death, damage and/or loss to my child, and/or anyone claiming on my child’s behalf.

Please be aware that in accordance with our Duty of Care & Child Protection Policy, children are not to be left unsupervised on the church property. Parents / Carers are responsible for the supervision of their children outside of the church’s children’s or youth programs.

By signing this document I am declaring that all information I have given is truthful and correct to the best of my ability, and that I agree to the terms and conditions set out in this document.

Name of Person/Caregiver(if under 18) / Signature of Person/Caregiver / Date

Seaview Community Church – Workplace Health and Safety – Youth RegistrationPage 1 of 2