WSY Registration 2026

Wild Street Youth 2026 Registration

Please fill out this form to register your children in school years 7-12 for all Wild Street and St Matt's Youth programs (Friday Youth, St Matt's Sunday Youth, Wild Street Sunday Youth) for 2026. A parent/guardian must complete this form for their children that are youth aged for the child to be a part of Wild Street Youth programs in 2026.

In accordance with the Privacy Act, 1988, we inform you that all personal information collected will be used for the purpose of contacting carers in the event of an accident/emergency, supplying appropriate medical care for your child if the need arises and for informing you of future children's activities that are authorised or approved by Wild Street Anglican Church. It will not be distributed to any other organisation. Thank you for providing this important information! We hope that it helps all the kids and families at Wild Street Church thrive.

Parent/Guardian Details

Parent/Guardian First Name *

Last Name *

Mobile Number

Home Address *

Home City *

Home Postcode *

Email Address *

Parent/Guardian #2 Name

Parent/Guardian #2 Phone Number

Parent/Guardian #2 Address

Parent/Guardian #2 Email

Emergency Contact Information

Emergency Contact Name *

Relationship to Child *

Emergency Phone Number *

In case of an emergency requiring immediate treatment, authority is given for the leaders to provide appropriate medical treatment *

Legal Permissions

My child is permitted to participate fully in the youth activities associated with Wild Street Anglican Church, Maroubra, every Friday night between 6.00-8.30pm and/or Sunday morning between 10:30am-12pm in the church grounds, at Nagle Park, Maroubra or for the occasional offsite event that I am notified of in advance. *

How do you permit your child to get home from Friday youth group? (Select all that apply)

Car driven by a parent of the child

Car driven by another person (e.g. known parent of another child at youth group, other family member)

Make their own way home

If you want other people to be able to be able to take your child to your home from youth, please list their names.

Is there any legal restriction on who has authority to collect your children? *

If Yes, please provide details

If necessary, I give permission for my child/children to be driven home by at least two youth leaders if no other suitable solution is available. *

I give permission for my child/children to ride in a car a youth group leader will drive for the occasional offsite event, provided I have specific notice of that event beforehand. *

Photos/Videos are sometimes taken during Youth activities. These photographs may be used for newsletter or advertising within Wild Street Church (group photos only, no names) but are not distributed to outside sources.

I permit photos to be taken for use in Wild Street Youth Programs *

I permit photos to be taken for use on the Wild Street Website *

I permit photos to be taken for use in advertising for Wild Street Church *

I would like to be signed up for the Wild Street Youth e-news to receive updates.

Yes

Child #1 Information

Name *

Date of Birth *

School Year in 2026 *

If your child has a current medical condition or food allergy, please give details

Medication / Course of Action Required

Tip: If your child has an Action Plan related to their Allergy/Medical Condition, please provide this to the office.

Child #2 Information

Name

Date of Birth

School Year in 2026

If your child has a current medical condition or food allergy, please give details

Medication / Course of Action Required

Child #3 Information

Name

Date of Birth

School Year in 2026

If your child has a current medical condition or food allergy, please give details

Medication / Course of Action Required

Child #4 Information

Name

Date of Birth

School Year in 2026

If your child has a current medical condition or food allergy, please give details

Medication / Course of Action Required

Tip: If your child has an Action Plan related to their Allergy/Medical Condition, please provide this to the office.

Child #5 Information

Name

Date of Birth

School Year in 2026

If your child has a current medical condition or food allergy, please give details

Medication / Course of Action Required

Tip: If your child has an Action Plan related to their Allergy/Medical Condition, please provide this to the office.

Additional Information

Is there any other information that will help Wild Street Youth leaders as they lead your children? Please provide details.