Children's Ministry Permission Form

At Austinmer Anglican Church we aim to provide a safe environment for children to learn.

All details within this form are confidential and will only be accessed by James Massey (Children's Minister) or other key leaders as needed.

Please complete one form per child in your care. You can submit multiple forms at once by selecting 'add another person' at the end of each form.

First Name *

Last Name *

Home Address *

Home City *

Home Postcode *

Date of Birth *

Gender

School Year *

Parent/Carer 1 *

Parent/Carer 1 phone number *

Parent/Carer 1 email address *

Parent/Carer 2

Parent/Carer 2 phone number

Parent/Carer 2 email address

Must be someone other than Parent/Carer.

Emergency contact name *

Emergency contact phone number *

Allergies

Dietary Needs

Learning/Behaviour Needs

Is there anyone who is NOT allowed to collect your child?

Photographs of my child may be used for promotional purposes eg social media

Yes

Are there any other comments you would like us to know

By submitting this form I consent to my child participating in Childrens Ministry at Austinmer Anglican Church.

If there are any changes to the information during the year, please contact James Massey so we can best care for you child.

James Massey
Children's Minister
Austinmer Anglican Church
austianglicanjm@gmail.com