Child Registration Form

This form should be completed for each child before participating in the Shiloh Children’s Ministry programmes on Sunday mornings. The gathered information is confidential and will be treated accordingly. It is requested in order to assist the Ministry Leader, Volunteer Teachers and Helpers in knowing your child and in risk management planning.

Step 1 of 3

Child Details

Name(Required)

First Last

Date of Birth(Required)

Year at Education(Required)

Please enter a number from 1 to 13.

Address(Required)

Street Address Suburb

Parent/Guardian

Name(Required)

First Last

Address(if different from your child):

Street Address Suburb

Phone(Required)

Your Relationship To The Child(Required)