Campus

Childs Details

Tip: Your Childs email address (please leave blank if not applicable)

Tip: Your Childs mobile number (Please leave blank if not applicable)

Other Information

Tip: Details of allergies or additional needs (please include instructions on how to treat/manage need)

Parent/Guardian/Emergency Contact Details

Permission

Tip: I give permission for Leaders to seek medical assistance for my child in the event of an emergency, including transporting by car to hospital/doctor or by ambulance.

Tip: I give permission for photo's and video recordings to be used in Church gatherings at Coast Community Church and on social media. (no names or other details will be used)

Tip: by ticking this box you are giving permission for your child to attend Kids/Youth programs or events at Coast Community Church

Tip: Your name (must be completed by a parent or legal guardian)