St Matts Friday Youth Summer Party • Wild Street

St Matts Youth Summer Party 0

Please fill out this form to register your children for St Matts Friday Youth Program - Summer Party. The event will take place on Friday, 21st Nov 2025, 5:30-7:30pm, at St Matts Anglican Church Botany. The night will include hanging out,playing games (in which you might get a little bit wet), dinner, a talk from the Bible, chats, and dessert.

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 St Matts Anglican Church. It will not be distributed to any other organisation. Thank you for providing this important information.

Child's Information

First Name *

Last Name *

Date of Birth *

School Grade *

If your child has any medical conditions we should be made aware of, please provide details:

If your child has any allergies or dietary restrictions we should be made aware of, please provide details:

Parent/Guardian Details

Father's (guardian) name

Mother's (guardian) name

Email Address *

Mobile Number *

Parent/Guardian #2 Email

Tip: If different from above

Parent/Guardian #2 Phone Number

Tip: If different from above

Emergency Contact Information

In the event of an emergency, leaders will contact the parents of the child/ren involved first. Should the leaders be unable to reach the parents, please provide another person who can be contacted in the event of an emergency regarding your child.

Emergency Contact Name *

Emergency Phone Number *

Relationship to Child *

In case of an emergency requiring immediate treatment, authority is given for the leaders to provide appropriate medical treatment or to obtain at my expense any medical, ambulance, rescue or other services that are considered necessary for my child.

Authority to provide medical treatment *

Yes

Legal Permissions

I give permission for my child to participate fully in the youth activities at St Matts Youth Summer Party on 21 Nov 5:30-7:30pm. *

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 a youth leader. *

I permit photos to be taken for use in St Matts Youth Programs *

Yes

I permit photos to be taken for use on the St Matts Website *

Yes

I permit photos to be taken for use in advertising for St Matts Church *

Yes

I would like to hear about programs and events at St Matts Church

Yes

Additional Information

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