KIDZONE 2026 TERM 3 • Life Anglican Church

Type

Price

Quantity

CHILD 1

Price
$40.00

Quantity
CHILD 2

Price
$30.00

Quantity
CHILD 3

Price
$15.00

Quantity

Applying discount...

CHILD 1 0

Has this person has attended Kidzone BEFORE? *

Yes

Tip: Please select 'No' if any details need to be updated, including: emergency contact information, authorised adults etc.

CHILD INFORMATION

First Name

Last Name

Gender

Date of Birth

School

PARENT INFORMATION

Parent 1 First Name *

Parent 1 Surname *

Parent 1 Phone

Mobile Number *

Parent 1 Email *

Parent 2 First Name

Parent 2 Last Name

Parent 2 Phone

Parent 2 Email

EMERGENCY CONTACT INFORMATION

Emergency Contact Name *

Emergency Contact Mobile *

Emergency Contact Relationship *

AUTHORIZED ADULT

Authorized Adult 1

Authorized Adult 2

ALLERGIES AND ANAPHALAXIS INFORMATION

Anaphylaxis

Yes (food related)

Yes (non food related)

Anaphylaxis Details

Allergies

Comments

External Photo Consent *

Yes

Internal Photo Consent *

Yes

INDEMNITY AND AUTHORIZATION DECLARATION

I understand that while every care will be taken by the leaders in charge to ensure the safety and comfort of my child/ren at Life Anglican Church, its leaders and the Life Anglican Church are not in any way responsible for any accident or sickness that may occur or happen through any circumstances.

I authorize you in the event of any accident or sickness, to obtain ALL necessary medical assistance and hospital accommodation and in this event, I agree to pay all such doctors, hospital fees, and any expenses incurred on behalf of my child.

In the event of any emergency necessitating a surgical operation, I authorize such operation and the use of an anesthetic providing it is carried out by a qualified medical practitioner.

Sign *

Yes

CHILD 2 0

Has this person has attended Kidzone BEFORE? *

Yes

Tip: Please select 'No' if any details need to be updated, including: emergency contact information, authorised adults etc.

CHILD INFORMATION

First Name

Last Name

Gender

Date of Birth

School

PARENT INFORMATION

Parent 1 First Name *

Parent 1 Surname *

Parent 1 Phone

Mobile Number *

Parent 1 Email *

Parent 2 First Name

Parent 2 Last Name

Parent 2 Phone

Parent 2 Email

EMERGENCY CONTACT INFORMATION

Emergency Contact Name *

Emergency Contact Mobile *

Emergency Contact Relationship *

AUTHORIZED ADULT

Authorized Adult 1

Authorized Adult 2

ALLERGIES AND ANAPHALAXIS INFORMATION

Anaphylaxis

Yes (food related)

Yes (non food related)

Anaphylaxis Details

Allergies

Comments

External Photo Consent *

Yes

Internal Photo Consent *

Yes

INDEMNITY AND AUTHORIZATION DECLARATION

In the event of any emergency necessitating a surgical operation, I authorize such operation and the use of an anesthetic providing it is carried out by a qualified medical practitioner.

Sign *

Yes

CHILD 3 0

Has this person has attended Kidzone BEFORE? *

Yes

Tip: Please select 'No' if any details need to be updated, including: emergency contact information, authorised adults etc.

CHILD INFORMATION

First Name

Last Name

Gender

Date of Birth

School

PARENT INFORMATION

Parent 1 First Name *

Parent 1 Surname *

Parent 1 Phone

Mobile Number *

Parent 1 Email *

Parent 2 First Name

Parent 2 Last Name

Parent 2 Phone

Parent 2 Email

EMERGENCY CONTACT INFORMATION

Emergency Contact Name *

Emergency Contact Mobile *

Emergency Contact Relationship *

AUTHORIZED ADULT

Authorized Adult 1

Authorized Adult 2

ALLERGIES AND ANAPHALAXIS INFORMATION

Anaphylaxis

Yes (food related)

Yes (non food related)

Anaphylaxis Details

Allergies

Comments

External Photo Consent *

Yes

Internal Photo Consent *

Yes

INDEMNITY AND AUTHORIZATION DECLARATION

In the event of any emergency necessitating a surgical operation, I authorize such operation and the use of an anesthetic providing it is carried out by a qualified medical practitioner.

Sign *

Yes