26 Adrenalites Registration • OEC Elvanto

Child Information - Personal

First Name *

Last Name *

Date of Birth *

Do you regularly attend another church, apart from OEC? *

Yes

Please list which one

Email Address *

Tip: Please enter a parent contact email to receive the program each term and be informed of any changes to locations/events.

School

School Grade *

Mailing Address *

Child Information - Medical

Does your child have any allergies? *

Tip: If your child requires medication for allergies, including epi-pens, please provide a copy of their allergy action plan along with their medication to a leader at the sign-in desk at Adrenalites.

Does your child have any diagnoses or medical conditions (including mental health) that would be helpful for us to know about? *

Tip: If you would like to give us more information about caring for your child, please speak to any Adrenalites leader.

Parent Contact Information

Emergency First Name *

Phone number *

Emergency Last Name *

Emergency Email *

Parent/Guardian Agreements

I agree to have occasional photos / videos taken of my child for advertising and promotional purposes *

Is there anyone who is legally restricted from seeing your child? *

Yes

List this person/people

I give permission for my child to attend Adrenalites *

All Adrenalites leaders have completed Safe Ministry Training and have a verified Working With Children Check number (WWCC#)

Payment Options

Payment of $4 per child or $6 per family can be made by cash or card each week at Adrenalites.

However, to minimise handling money at Adrenalites, we encourage families to purchase a book of 8 tickets that can be used at any point throughout the year. A book of tickets is $32 for a child or $48 for a family.

Ticket books can be purchased using the link on the next page, or in person at Adrenalites.