YouthLIFE 2024 • Life Anglican Church

Type

Price

Quantity

Registration Form Only

168 Remaining

Price
$0.00

Quantity
Register for Full Year

168 Remaining

Price
$50.00

Quantity
Register for This Term

168 Remaining

Price
$20.00

Quantity

Applying discount...

Registration Form Only 0

I have already filled out out a registration form for this child, this year.

Yes

Tip: In this case, you don't need to complete the information below. Simply provide the child's name, and submit the form.

Details About Youth

First Name *

Last Name *

Preferred Name

Gender

Mobile Number

Email Address

Mailing Address

Mailing Postcode

Date of Birth

School

School Year

Medical Behavioural Details

Allergies

Anaphylaxis

Yes (food related)

Yes (non food related)

Anaphylaxis Details

Helpful Information

Parent/Guardian Details

Parent 1 First Name *

Parent 1 Last Name *

Parent 1 Phone *

Parent 1 Email *

Add second parent's details

Yes

Parent 2 First Name

Parent 2 Last Name

Parent 2 Email

Parent 2 Phone

Comments

From time to time leaders from YouthLIFE may contact your child for encouragement (years 10-12) and logistics (years 7-12).

YouthLIFE Contact Permission *

Do NOT contact

YouthLIFE leaders may contact my child

From time to time photos and videos of youth taken at YouthLIFE events will be displayed publicly (online and in print) unless indicated below.

YouthLIFE Photo Consent *

I DO NOT want photographs taken of my child

Photographs may be taken of my child

By submitting this form, I give permission for my child to attend regular activities at YouthLIFE.

I authorise the YouthLIFE leaders, in the event of an emergency, to obtain at my expense any medical, ambulance, rescue or other services that are considered necessary for my child.

Signed by: *

Register for Full Year 0

I have already filled out out a registration form for this child, this year.

Yes

Tip: In this case, you don't need to complete the information below. Simply provide the child's name, and submit the form.

Details About Youth

First Name *

Last Name *

Preferred Name

Gender

Mobile Number

Email Address

Mailing Address

Mailing Postcode

Date of Birth

School

School Year

Medical Behavioural Details

Allergies

Anaphylaxis

Yes (food related)

Yes (non food related)

Anaphylaxis Details

Helpful Information

Parent/Guardian Details

Parent 1 First Name *

Parent 1 Last Name *

Parent 1 Phone *

Parent 1 Email *

Add second parent's details

Yes

Parent 2 First Name

Parent 2 Last Name

Parent 2 Email

Parent 2 Phone

Comments

From time to time leaders from YouthLIFE may contact your child for encouragement (years 10-12) and logistics (years 7-12).

YouthLIFE Contact Permission *

Do NOT contact

YouthLIFE leaders may contact my child

From time to time photos and videos of youth taken at YouthLIFE events will be displayed publicly (online and in print) unless indicated below.

YouthLIFE Photo Consent *

I DO NOT want photographs taken of my child

Photographs may be taken of my child

By submitting this form, I give permission for my child to attend regular activities at YouthLIFE.

I authorise the YouthLIFE leaders, in the event of an emergency, to obtain at my expense any medical, ambulance, rescue or other services that are considered necessary for my child.

Signed by: *

Register for This Term 0

I have already filled out out a registration form for this child, this year.

Yes

Tip: In this case, you don't need to complete the information below. Simply provide the child's name, and submit the form.

Details About Youth

First Name *

Last Name *

Preferred Name

Gender

Mobile Number

Email Address

Mailing Address

Mailing Postcode

Date of Birth

School

School Year

Medical Behavioural Details

Allergies

Anaphylaxis

Yes (food related)

Yes (non food related)

Anaphylaxis Details

Helpful Information

Parent/Guardian Details

Parent 1 First Name *

Parent 1 Last Name *

Parent 1 Phone *

Parent 1 Email *

Add second parent's details

Yes

Parent 2 First Name

Parent 2 Last Name

Parent 2 Email

Parent 2 Phone

Comments

From time to time leaders from YouthLIFE may contact your child for encouragement (years 10-12) and logistics (years 7-12).

YouthLIFE Contact Permission *

Do NOT contact

YouthLIFE leaders may contact my child

From time to time photos and videos of youth taken at YouthLIFE events will be displayed publicly (online and in print) unless indicated below.

YouthLIFE Photo Consent *

I DO NOT want photographs taken of my child

Photographs may be taken of my child

By submitting this form, I give permission for my child to attend regular activities at YouthLIFE.

I authorise the YouthLIFE leaders, in the event of an emergency, to obtain at my expense any medical, ambulance, rescue or other services that are considered necessary for my child.

Signed by: *