Life Kids New Families • Life Church Townsville

Parent's Details

Parent's First Name *

Phone Number *

Home Address *

Parent's Last Name *

Email Address *

Home Postcode *

Child's Details

Child's First Name *

Gender *

Select Age Group *

Child's Last Name *

Date of Birth *

School Grade

Dietary Requirements *

No - There are NO Dietary Requirements

Yes

If Yes, please specify:

Promotional Content

Throughout the year, we will be capturing photographs and videos during our services and events for promotional purposes.

Photo Permission *

Yes - I give full permission for my child to be photographed/videoed during the program/events and for the content to be used for promotional purposes

No - I do not grant permission