Child Registration Form

Parent/Guardian to complete. All fields marked * must be filled out.

NOTE: All information filled out will not remain on website.

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Parent / Guardian Details – 18+
Parent / Guardian Details – 18+
I give permission for my child to attend and participate in all Momentum Church Ministry events held within the allocated Children’s Church facility, I understand that at all times my child will be under full supervision of the Children’s Ministry. I also give permission for my child to be administered first aid where necessary, by appropriately trained staff, however Momentum Church cannot be held liable for any personal injury to my child while in the care of the Children’s Ministry.
Child Name – 1
Gender
Does your child have any allergies?
This could include penicillin, medication, insects, plants, foods, etc.
Does your child take / use any medications including inhalers?
NOTE: Momentum Church will always default to getting the child's Parent or Guardian to administer any and all medication. Can your child self medicate if needed?
In the event your child MUST take medications whilst under Momentum Church’s care, please note here that: All medications must be in their original containers and be appropriately labelled, and include an attached letter detailing the medications, doses and administrations instruments for all prescriptions. Please DO NOT give your child’s medication to them to bring; medications MUST be received and held by one of the Team Leaders
Child Name – 2
Gender
Does your child have any allergies?
This could include penicillin, medication, insects, plants, foods, etc.
Does your child take / use any medications including inhalers?
NOTE: Momentum Church will always default to getting the child's Parent or Guardian to administer any and all medication. Can your child self medicate if needed?
In the event your child MUST take medications whilst under Momentum Church’s care, please note here that: All medications must be in their original containers and be appropriately labelled, and include an attached letter detailing the medications, doses and administrations instruments for all prescriptions. Please DO NOT give your child’s medication to them to bring; medications MUST be received and held by one of the Team Leaders
Child Name – 3
Gender
Does your child have any allergies?
This could include penicillin, medication, insects, plants, foods, etc.
Does your child take / use any medications including inhalers?
NOTE: Momentum Church will always default to getting the child's Parent or Guardian to administer any and all medication. Can your child self medicate if needed?
In the event your child MUST take medications whilst under Momentum Church’s care, please note here that: All medications must be in their original containers and be appropriately labelled, and include an attached letter detailing the medications, doses and administrations instruments for all prescriptions. Please DO NOT give your child’s medication to them to bring; medications MUST be received and held by one of the Team Leaders
Child Name – 4
Gender
Does your child have any allergies?
This could include penicillin, medication, insects, plants, foods, etc.
Does your child take / use any medications including inhalers?
NOTE: Momentum Church will always default to getting the child's Parent or Guardian to administer any and all medication. Can your child self medicate if needed?
In the event your child MUST take medications whilst under Momentum Church’s care, please note here that: All medications must be in their original containers and be appropriately labelled, and include an attached letter detailing the medications, doses and administrations instruments for all prescriptions. Please DO NOT give your child’s medication to them to bring; medications MUST be received and held by one of the Team Leaders
Child Name – 5
Gender
Does your child have any allergies?
This could include penicillin, medication, insects, plants, foods, etc.
Does your child take / use any medications including inhalers?
NOTE: Momentum Church will always default to getting the child's Parent or Guardian to administer any and all medication. Can your child self medicate if needed?
In the event your child MUST take medications whilst under Momentum Church’s care, please note here that: All medications must be in their original containers and be appropriately labelled, and include an attached letter detailing the medications, doses and administrations instruments for all prescriptions. Please DO NOT give your child’s medication to them to bring; medications MUST be received and held by one of the Team Leaders
Child Name – 6
Gender
Does your child have any allergies?
This could include penicillin, medication, insects, plants, foods, etc.
Does your child take / use any medications including inhalers?
NOTE: Momentum Church will always default to getting the child's Parent or Guardian to administer any and all medication. Can your child self medicate if needed?
In the event your child MUST take medications whilst under Momentum Church’s care, please note here that: All medications must be in their original containers and be appropriately labelled, and include an attached letter detailing the medications, doses and administrations instruments for all prescriptions. Please DO NOT give your child’s medication to them to bring; medications MUST be received and held by one of the Team Leaders