25 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: (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: (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 in cash each week at Adrenalites.

However, to minimise handling money at Adrenalites, we encourage people to pay online at the start of the term. You will be given a book of tickets that can be rolled over into next term if your child misses some weeks.

For Term 2, 2025 (8 weeks of Adrenalites), this is $32 for an individual child, or $48 per family.

The next page will provide a link to the online payment.