Completing this form helps us care for your child or teenager in their program and communicate with you as their parent or carer. All information provided is used in accordance with our privacy policy.

I would like to give more information to leaders about my child's condition or needs.

Note that all communication to youth will be done according to the guidelines detailed in the Safe Ministry Blueprint document, pages 13-19 (https://safeministry.org.au/blueprint-parents-church-members/).

In the case of an injury or emergency, I authorise staff or ministry leaders of Sans Souci Anglican, where it is not possible to communicate with me, to arrange for my child to receive medical treatment as may be deemed necessary in the circumstances.

During the course of our regular activities we may take photographs or video to be used in church services or promotional purposes (including online media).

If your child has additional parents/carers who may sign them out from their program, please provide their full name below.