Children & Youth Ministry Registration 2025 (New People) • The Lakes Church

Children & Youth Ministry Registration Form 2025

A Child Safe Environment

One of the core goals of our children and youth programs here at The Lakes Church is to provide a safe, secure and loving environment for children and young people in our care.

We know that the parents of children or youth connected into The Lakes community value the high priority placed on ensuring that children and youth have a fun, engaging experience in a safe environment.

The information on this form is collected to ensure that your child’s participation is as enjoyable and safe as possible. Failure to supply the information will limit our ability to both care for your child appropriately and provide an environment that is safe and enjoyable. This information will not be used for any other purpose.

Enrolment

I'd like to enrol my child in:

Registration: Kids/Youth Programs *

Sunday Programs

Lakes Youth

Lakes Youth Extreme

Good News Week

Tip: Tick more than one if applicable. (Sunday Programs: Kids/Teens Church; Lakes Youth Extreme Year 4 - Year 6; Lakes Youth Year 7 - Year 12)

How Did You Hear About Us?

Heard about us from *

Do you regularly attend another church?

Yes

Name of Church

Tip: Please state if you tick "Yes" above.

Child's Personal Details

First Name *

Last Name *

Gender

Date of Birth *

School Grade *

Tip: School Grade in 2025

School *

Tip: Select "Other" at the bottom of the list if the school is not listed here, or if your child has not started school.

Please Enter School Name Here

Mobile Number

Tip: It's not mandatory to enter a mobile number here. This field is a requirement to set up the online form only.

Child's Medical/ Important Information

(YOU MUST NOTIFY US IF YOUR CHILD SUFFERS FROM ASTHMA, ANAPHYLAXIS OR OTHER LIFE THREATENING CONDITIONS)

Allergies/Intolerances

Tip: Select more than one when necessary.

Medical Conditions

Tip: Select more than one when necessary.

Requires Epipen

Yes

Other Allergy/Medical Details

Tip: Any other important information you consider important for us to know about your child.

Emergency Contact Details

Emergency Contact's Full Name *

Emergency Contact's Mobile Number *

Tip: Best contact number for us to call in case of emergency.

Relationship *

Tip: Relationship to the child.

Household Information

Parent 1 Contact Details

Parent 1 First Name *

Parent 1 Last Name *

Parent 1 Email *

Parent 1 Mobile Number *

Parent 2 Contact Details

Parent 2 First Name

Parent 2 Last Name

Parent 2 Email

Parent 2 Mobile Number

Household Address

Home Address *

Home Address Line 2

Home City *

Home State *

Home Postcode *

Authorisation and Consent

I consent to my child/charge, participating in the programs and/or ministries offered by The Lakes Church as indicated above. I understand that the nature of the activities at these programs and/or ministries will include, but may not be limited to, games, devotions, craft and communal eating.

I understand that The Lakes Church will take all reasonable measures to ensure the safety of my child while in the care of the relevant ministry. Although all reasonable measures will be taken to identify and minimise risks during these programs, I agree to indemnify and hold harmless The Lakes Church and/or any ministry leader/volunteer against all claims, demands, suits and liability of whatever nature and howsoever arising out of the injury to a person/child, irrespective of whether such loss, damage or injury were caused or suffered by me or my minor as a result of participation in the ministry except where a legal duty of care exists.

I understand that every effort will be made by the leader to contact me in the event of any illness or accident.

I hereby authorise the leader, where it is impracticable to communicate with me, to arrange for my child/children to receive such medical or surgical treatment as the leader and a qualified medical practitioner may deem necessary at any time. I further authorise the use of Ambulance and/or anaesthetic by a qualified medical practitioner if in his/her judgement it is necessary. I accept responsibility for payment for all reasonable expenses associated with such treatment.

I consent to this information being added to the church database and only used for the purposes of ensuring a safe and enjoyable environment for my child when participating in the ministry.

I understand that The Lakes Church may use photos or video footage taken of my child for the purposes of promoting the ministry in the context of the wider church. This may include, but is not limited to, the church website and Facebook page, church announcements and advertising brochures. I understand that the name of my child will not be posted alongside such photograph(s).

Photo Privacy - For safety reasons photos of my child must not be used publicly.

No photos allowed

Tip: If you tick this box, we will need to take a photo of your child each morning as a reference photo to ensure we do not use your child’s photos for the purposes mentioned above.

Consent for Lakes Youth and Lakes Youth Extreme Participants only - Year 4 to Year 12:

I hereby give consent for my child/charge to travel to and from Lakes Youth or Lakes Youth Extreme events with the group leaders or parents or by means of a fully licensed bus charter on occasions where the program may operate at a location other than The Lakes Church. I understand that I will be notified when this will occur.

Tip: Tick to give consent.

Full Name of Parent or Legal Guardian *

Declaration of Consent *

I hereby agree with the arrangement described above.

Date of Authorisation and Consent *

The Lakes Church has a policy of protecting the confidentiality and security of personal information we collect.
To find out more visit the Policies & Legal page of our website: thelakes.net.au