Kids & Youth on Sundays - Online Registration Form • St John's Maroubra

Child's Details

Welcome! Thanks for registering your child. This form is essential for all children and youth (Preschool-Yr 9) in 2026 kids and youth programs on Sundays at St John's, including:

Church's Kids @ 10am (Preschool - Yr 6)
Toast Youth (Yr 7-9)

If you have multiple children attending, enter the details for your first child, then press the 'register another child' button below.

First Name *

Last Name *

Email Address *

Gender *

Date of Birth *

Address *

Suburb *

Postcode *

School Grade *

School Name

Does your child have any allergies? If YES, please provide details of allergies in the next box. *

No known allergies

Yes (has allergies)

Details of allergies:

Tip: Leave blank if N/A. If relevant, please send action plan to office@stjohnsmaroubra.com

Is there anything that would be helpful for us to know in caring for your child (medical conditions, impairments, behavioural concerns, prescription medication, chronic illness, special diets etc). *

Please provide details of care/medical needs:

Tip: Leave blank if N/A

Parent / Caregiver 1

Full Name *

Mobile *

Email *

Parent / Caregiver 2

Full Name

Mobile

Alternate Emergency Contact

This must be different to the Parents/Guardians provided above e.g. grandparent, neighbour or family friend.

Emergency Contact - Full Name *

Emergency Contact - Mobile *

Emergency Contact - Relationship to Child *

Permissions

I give permission for my child to participate fully in activities run by St John's Maroubra Anglican Church. *

Acknowledged

Is there any legal restriction on who can see or pick up your child? *

Yes

If yes, please provide details of legal restrictions:

Tip: Leave blank if N/A

I give permission to the St John's ministry leaders, in the event of an emergency, to provide appropriate medical treatment or to obtain at my expense any medical, ambulance, rescue or other services that are considered necessary for my child. *

Acknowledged

Do you give permission for photos/videos of your child taken at St John's events to be displayed publicly (online and/or in print). *

Yes