SPARK Kids Club Registration Form 2021

By consenting below you give your permission for your child to participate fully in the children's activity associated with the parish church of St Philip's Anglican Church Eastwood being at the corner of Shaftsbury Rd and Rutledge Street Eastwood. 


In the case of a medical emergency, you also give permission to the Doctor chosen by the church authorities, to seek 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 or the nominated emergency contacts above prior to instituting such procedures.