(KIDS) NEXT GEN - REGISTRATION FORM (GWAC)

This form is intended to assist leaders in case of any medical emergency during the course of participating in any GWAC Kids activity for Ages 3-12yr (where the child has been signed into the care of GWAC leaders.)

ONE form per CHILD.  To be completed ELECTRONICALLY in full, including the details of all who hold legal custody over the child.

(NOTE: For Playgroup & ignite YOUTH participation, please ask for those specific forms).


 

This form is to be filled in by a parent or guardian of the participant. 

Child details

Parent or Guardian Details - 1

Parent or Guardian Details - 2

Emergency Contact

Medical infomation

Tip: Eg. Do they have a management plan?

Permissions

By checking these boxes below, I acknowledge that:

Confirmation:

By acknowledging and signing below, I am delivering an electronic signature that will have the same effect as an original manual paper signature. the electronic signature will be equally as binding as an original manual paper signature.