Child Enrolment Form 2024

This enrolment is active from the date filled in until 31 January the following year, at which point your child will need to be re-enrolled. One form must be completed for EACH child in your family who is part of Cornerstone's childrens' programs.

Details of Child

First Name *

Last Name *

Date of Birth *

Gender *

School Year *

Phone Number

Tip: home phone number

Home Address

Parent/Guardian Details

Primary Parental Contact (name & number) *

Secondary Parental Contact (name & number) *

Child's Health Information

Food Allergies

Non-food Allergies

Tip: for example - bees, latex

Other health information useful for childwork

Tip: anything that would be helpful for us to know in caring for your child (nappy size, disability, behavioural or learning difficulties, etc.)

People legally restricted from seeing child?

Tip: please name if applicable

Permissions & Consent

Permission to use photos/videos of children *

Tip: As part of the enrolment process, we ask for consent to use photos/videos of your child for marketing and communications material. For those who select “permission, provided draft is viewed”, the proofing process will change slightly this year. When our communications team wish to use pictures or footage including children, a link will be sent to all parents at Cornerstone with the draft PDF/images for digital applications. It’s your responsibility to check the draft for images of your child. Please respond within 5 days if you would not like your child’s image used. If you are happy for us to proceed with the image then you don’t need to do anything. Photos and videos of children will not be published where we do not have parental consent.

Permission to be sent postal mail *

Tip: for example - children's leader(s) may send your child birthday cards, special invitations

Consent

Consent given by *

Tip: please enter your name

Parent/Guardian Consent

For child to participate fully in children's programs with Cornerstone Church

For those supervising the children's activity to administer basic first aid if necessary

In the case of a medical emergency, permission for those supervising or administering the children's activity, to secure proper treatment (by means of a qualified health profession) for child.

Date of this consent