KFJ Registration Form

Kids for Jesus (KFJ) Sunday School Registration Form

Holy Trinity Anglican Church Wentworth Falls

A Parent or Guardian needs to complete this form. Thank you for filling out this form, so that we are able to better care for your child and conform with safe ministry and COVID-19 regulations. Health information and some family details can be sensitive and will be kept confidential.

Please talk to your child’s class teacher if any questions. Sincerely, Jenny Salins and the KFJ Team.
Please complete one form for each child being registered.

Details of Child

Address where child resides

Tip: Parent's Email Address

Child's Health Information

Due to COVID-19, we ask that children be kept home to enjoy the livestream (and kids activities) if any of the relevant symptoms are present, or if you or they have visited a hotspot in the last two weeks or been in contact with someone with a confirmed case.

Tip: if parents can't be reached

Tip: No spaces, please

Please list any known allegies
Is your child on a special diet, on any medication (not already noted), have a serious illness or disability, have a known behavioural problem or restricted from any activity? (Please note details and include a treatment/care plan if necessary)

Details of Parent/Guardian

Authorities & Responsibilities

Please Read the Following

Indicating yes on the drop down menu below indicates:
• My willingness to permit my child to participate fully in the activities of Kid for Jesus at Holy Trinity Wentworth Falls on Sunday mornings.
• That I give my permission, in the case of a medical emergency, to the doctor chosen (either by the church authorities or other persons supervising or administering the activities), to secure proper treatment for and/or order hospitalisation, injection, anaesthetic or surgery for my child as named. I understand that every effort will be made to contact me prior to instituting such procedures.

• I will only send my child to KFJ if, to the best of my knowledge, they have no COVID-19 symptoms (see above) and have not visited a hotspot or been in contact with anyone confirmed to have COVID-19.

Selecting Yes below certifies acceptance of all these conditions:

The leadership team of Kids for Jesus will treat all the information contained confidentially. This information may be shared with a third party when it concerns medical health or care of the individuals listed. Please don’t hesitate to contact Jason with any queries in relation to this information.