New Family Registration • Rhythm Church

Rhythm Church New Family Registration

Tell us about yourself :)

Is this info for your Child or Yourself *

Tip: Please note, if checking children, we will need to collect some parental / guardians information

First Name *

Last Name *

Date of Birth *

Phone Number

Email Address

Mailing Address

Mailing City

Mailing Zip Code

Allergies / Medical Conditions

Yes

Special Requirements

Gender

School Name

School Grade

Custodial Issues

Yes

Custodial Notes

Other Family Members Attending Today *

Yes

T&Cs

MEDICAL TREATMENT CONSENT:
I being parent/guardian of the said child understand that whilst every precaution will be taken to ensure the good welfare and protection of my child, Rhythm Church, its staff and volunteers acting on behalf are herby released from any and all liability in the event of any accident or misfortune, damage or loss that may occur to the child and their property. In the case of an emergency, I hereby give permission to the First Aid Staff to ensure proper treatment for my child. I understand that every effort will be made to contact me before instituting such doctor, ambulance and hospital fees incurred on behalf of my child. I have attached a list of any health information about my child that the First Aid staff need to know.

INVOLVEMENT CONSENT:
I being the parent/guardian of the siad child hereby give my consent that my son / daughter may participate in any actitivites they choose over the course of the Rhythm Kids program / curriculum.

CONNECT LEADER PHONE CONTACT CONSENT:
I beling the parent / guardian of the saud child hereby give my consent for my son/daughter to be contact by phone by his or her connect leader. I understand that the connect leader will speak to me first before speaking to my child so that I am aware of who is talking with my child.

SUPERVISION POLICY:

Rhythm Kids will provide supervision at parent pickup point at the venue. No child will be allowed to leave the venue until they are picked up by the authorised parent / guardian. It is an essential term of Rhythm Kids registration that where parents will not, for any reason collect their children from the supervised pick-up point, the Rhythm Church, its employees, servants, volunteers as organisers of Rhythm Kids take no responsibility for any child leaving the supervised site for whatever reason.
PRIVACY POLICY:

Rhythm church is committed to protect the privacy of an individual's information. Please refer to the Privacy Policy on our website.

Photo & Video Consent *

I GIVE Permission (Photograph & Video Allowed)

I Do Not Give Permission (No Photos or Videos)

Tip: I being parent / guardian of said child hereby give consent for my son/daughter to be captured in both photographs and video at rhythm Church. Rhythm Church reserves the right to use this material for promotional purposes. Rhythm Church may be filmed and / or recorded bor on behalf of Rhythm Church for production and / or resale. It is a condition of entry that each audience waives any claim he or she might have in relation to inclusion of their likeness in such films or recordings.

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