King's Kids Playgroup Registration Form

All the information you give is confidential and will not be disclosed beyond relevant committee members without your permission.  Your information is stored on our Church Database system which is only accessible by our Administrative staff for the purpose of running Playgroup efficiently.  At times you may receive information on community activities beyond playgroup.  

Child's Details

Tip: Are there any conditions which King's Baptist Church Inc. should be aware of regarding the health and well being for your child eg. Asthma. allergies (food, drugs/medicine), convulsive seizures, diabetic?

Family Contact Details

Tip: If child is attending playgroup session with Grandparent

Tip: If child is attending playgroup session with Family Day Carer

Emergency Contact Details

Please provide name and phone contact details of two people who will not be attending playgroup with you should there be need to contact them in an emergency.

Permissions

Please indicate your permission for the following.

Tip: Do you give permission for your child's photo to be taken and displayed on playgroup premises?

Tip: Do you give permission for your child's photo to be taken and used for promotion, either in printed material (on display or newsletter) or online (church website, playgroup facebook page)?

Playgroup Fees

Playgroup fees are $30 per term or $3.50 a session.  Please note that this fee is per family represented not per child. Playgroup fees cover the costs of resources and toys, maintenance of facilities and insurances.

Please indicate how you would like to pay your playgroup fees.