Vacation Kids Plus 2026 • St Philips Eastwood Anglican

Single Child Ticket (1 Day) 0

VKP 2026 Registration Form

Family Details

Parent 1 Name *

Parent 2 Name

Emergency Contact Name *

Tip: An emergency contact is whoever will be best to contact during the VKP programme in case of an emergency. Can be Parent 1 or 2, or someone else if they are more suitable.

Address *

Post Code *

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

Yes

No

Tip: If yes, please contact Jason with any supporting documentation.

Parent 1 Phone *

Parent 2 Phone

Emergency Contact Number *

Suburb *

Parents Email Address *

Names of Parents/Guardians picking up children from VKP *

Child 1 Details

Child 1 Name *

Date of Birth *

Any Allergies?

Any Dietary Requirements?

What day(s) will your child be attending VKP? *

Wednesday 16/7

Thursday 17/7

Friday 18/7

VKP Sunday

Gender *

School Year in 2026 *

Any Activity Restrictions?

Any other health information we should know?

Tip: Respiratory, muscular, epilepsy, etc.

If you are only registering one child for VKP, please scroll down to finalise your registration. If you are registering more children for VKP, please fill in the extra child details below before finalising your registration.

Child 2 Details

Child 2 Name

Date of Birth

Any Allergies?

Any Dietary Requirements?

What day(s) will your child be attending VKP?

Wednesday 16/7

Thursday 17/7

Friday 18/7

VKP Sunday

Gender

School Year in 2026

Any Activity Restrictions?

Any other health information we should know?

Child 3 Details

Child 3 Name

Date of Birth

Any Allergies?

Any Dietary Requirements?

What day(s) will your child be attending VKP?

Wednesday 16/7

Thursday 17/7

Friday 18/7

VKP Sunday

Gender

School Year in 2026

Any Activity Restrictions?

Any other health information we should know?

Child 4 Details

Child 4 Name

Date of Birth

Any allergies?

Any dietary requirements?

What day(s) will your child be attending VKP?

Wednesday 16/7

Thursday 17/7

Friday 18/7

VKP Sunday

Gender

Male

Female

School Year in 2026

Any activity restrictions?

Any other health information we should know?

Permission

Photos/videos of my child/children may be displayed and used to promote the group *

Additional Notes

Tip: Anything else the VKP team should know?

Checking the box below indicates:

My willingness to permit my child to participate fully in the Vacation Kids Plus Ministry of Eastwood Anglican Church
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 every effort will be made to contact me prior to instituting such procedures.

I consent to the above. *

The leadership team of the aforementioned group will treat the information contained confidentially. This information may be shared with a third party when it concerns medical health or care of the individuals listed. If you wish to access this information or have any queries in relation to the manner in which we handle your personal information, please do not hesitate to contact Jason - jason@stphils.org.au

Single Child Ticket (2 Days) 0

VKP 2026 Registration Form

Family Details

Parent 1 Name *

Parent 2 Name

Emergency Contact Name *

Tip: An emergency contact is whoever will be best to contact during the VKP programme in case of an emergency. Can be Parent 1 or 2, or someone else if they are more suitable.

Address *

Post Code *

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

Yes

No

Tip: If yes, please contact Jason with any supporting documentation.

Parent 1 Phone *

Parent 2 Phone

Emergency Contact Number *

Suburb *

Parents Email Address *

Names of Parents/Guardians picking up children from VKP *

Child 1 Details

Child 1 Name *

Date of Birth *

Any Allergies?

Any Dietary Requirements?

What day(s) will your child be attending VKP? *

Wednesday 16/7

Thursday 17/7

Friday 18/7

VKP Sunday

Gender *

School Year in 2026 *

Any Activity Restrictions?

Any other health information we should know?

Tip: Respiratory, muscular, epilepsy, etc.

If you are only registering one child for VKP, please scroll down to finalise your registration. If you are registering more children for VKP, please fill in the extra child details below before finalising your registration.

Child 2 Details

Child 2 Name

Date of Birth

Any Allergies?

Any Dietary Requirements?

What day(s) will your child be attending VKP?

Wednesday 16/7

Thursday 17/7

Friday 18/7

VKP Sunday

Gender

School Year in 2026

Any Activity Restrictions?

Any other health information we should know?

Child 3 Details

Child 3 Name

Date of Birth

Any Allergies?

Any Dietary Requirements?

What day(s) will your child be attending VKP?

Wednesday 16/7

Thursday 17/7

Friday 18/7

VKP Sunday

Gender

School Year in 2026

Any Activity Restrictions?

Any other health information we should know?

Child 4 Details

Child 4 Name

Date of Birth

Any allergies?

Any dietary requirements?

What day(s) will your child be attending VKP?

Wednesday 16/7

Thursday 17/7

Friday 18/7

VKP Sunday

Gender

Male

Female

School Year in 2026

Any activity restrictions?

Any other health information we should know?

Permission

Photos/videos of my child/children may be displayed and used to promote the group *

Additional Notes

Tip: Anything else the VKP team should know?

Checking the box below indicates:

My willingness to permit my child to participate fully in the Vacation Kids Plus Ministry of Eastwood Anglican Church
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 every effort will be made to contact me prior to instituting such procedures.

I consent to the above. *

The leadership team of the aforementioned group will treat the information contained confidentially. This information may be shared with a third party when it concerns medical health or care of the individuals listed. If you wish to access this information or have any queries in relation to the manner in which we handle your personal information, please do not hesitate to contact Jason - jason@stphils.org.au

Single Child Ticket (All Days) 0

VKP 2026 Registration Form

Family Details

Parent 1 Name *

Parent 2 Name

Emergency Contact Name *

Tip: An emergency contact is whoever will be best to contact during the VKP programme in case of an emergency. Can be Parent 1 or 2, or someone else if they are more suitable.

Address *

Post Code *

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

Yes

No

Tip: If yes, please contact Jason with any supporting documentation.

Parent 1 Phone *

Parent 2 Phone

Emergency Contact Number *

Suburb *

Parents Email Address *

Names of Parents/Guardians picking up children from VKP *

Child 1 Details

Child 1 Name *

Date of Birth *

Any Allergies?

Any Dietary Requirements?

What day(s) will your child be attending VKP? *

Wednesday 16/7

Thursday 17/7

Friday 18/7

VKP Sunday

Gender *

School Year in 2026 *

Any Activity Restrictions?

Any other health information we should know?

Tip: Respiratory, muscular, epilepsy, etc.

If you are only registering one child for VKP, please scroll down to finalise your registration. If you are registering more children for VKP, please fill in the extra child details below before finalising your registration.

Child 2 Details

Child 2 Name

Date of Birth

Any Allergies?

Any Dietary Requirements?

What day(s) will your child be attending VKP?

Wednesday 16/7

Thursday 17/7

Friday 18/7

VKP Sunday

Gender

School Year in 2026

Any Activity Restrictions?

Any other health information we should know?

Child 3 Details

Child 3 Name

Date of Birth

Any Allergies?

Any Dietary Requirements?

What day(s) will your child be attending VKP?

Wednesday 16/7

Thursday 17/7

Friday 18/7

VKP Sunday

Gender

School Year in 2026

Any Activity Restrictions?

Any other health information we should know?

Child 4 Details

Child 4 Name

Date of Birth

Any allergies?

Any dietary requirements?

What day(s) will your child be attending VKP?

Wednesday 16/7

Thursday 17/7

Friday 18/7

VKP Sunday

Gender

Male

Female

School Year in 2026

Any activity restrictions?

Any other health information we should know?

Permission

Photos/videos of my child/children may be displayed and used to promote the group *

Additional Notes

Tip: Anything else the VKP team should know?

Checking the box below indicates:

My willingness to permit my child to participate fully in the Vacation Kids Plus Ministry of Eastwood Anglican Church
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 every effort will be made to contact me prior to instituting such procedures.

I consent to the above. *

The leadership team of the aforementioned group will treat the information contained confidentially. This information may be shared with a third party when it concerns medical health or care of the individuals listed. If you wish to access this information or have any queries in relation to the manner in which we handle your personal information, please do not hesitate to contact Jason - jason@stphils.org.au

Family Ticket (1 Day) 0

VKP 2026 Registration Form

Family Details

Parent 1 Name *

Parent 2 Name

Emergency Contact Name *

Tip: An emergency contact is whoever will be best to contact during the VKP programme in case of an emergency. Can be Parent 1 or 2, or someone else if they are more suitable.

Address *

Post Code *

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

Yes

No

Tip: If yes, please contact Jason with any supporting documentation.

Parent 1 Phone *

Parent 2 Phone

Emergency Contact Number *

Suburb *

Parents Email Address *

Names of Parents/Guardians picking up children from VKP *

Child 1 Details

Child 1 Name *

Date of Birth *

Any Allergies?

Any Dietary Requirements?

What day(s) will your child be attending VKP? *

Wednesday 16/7

Thursday 17/7

Friday 18/7

VKP Sunday

Gender *

School Year in 2026 *

Any Activity Restrictions?

Any other health information we should know?

Tip: Respiratory, muscular, epilepsy, etc.

If you are only registering one child for VKP, please scroll down to finalise your registration. If you are registering more children for VKP, please fill in the extra child details below before finalising your registration.

Child 2 Details

Child 2 Name

Date of Birth

Any Allergies?

Any Dietary Requirements?

What day(s) will your child be attending VKP?

Wednesday 16/7

Thursday 17/7

Friday 18/7

VKP Sunday

Gender

School Year in 2026

Any Activity Restrictions?

Any other health information we should know?

Child 3 Details

Child 3 Name

Date of Birth

Any Allergies?

Any Dietary Requirements?

What day(s) will your child be attending VKP?

Wednesday 16/7

Thursday 17/7

Friday 18/7

VKP Sunday

Gender

School Year in 2026

Any Activity Restrictions?

Any other health information we should know?

Child 4 Details

Child 4 Name

Date of Birth

Any allergies?

Any dietary requirements?

What day(s) will your child be attending VKP?

Wednesday 16/7

Thursday 17/7

Friday 18/7

VKP Sunday

Gender

Male

Female

School Year in 2026

Any activity restrictions?

Any other health information we should know?

Permission

Photos/videos of my child/children may be displayed and used to promote the group *

Additional Notes

Tip: Anything else the VKP team should know?

Checking the box below indicates:

My willingness to permit my child to participate fully in the Vacation Kids Plus Ministry of Eastwood Anglican Church
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 every effort will be made to contact me prior to instituting such procedures.

I consent to the above. *

The leadership team of the aforementioned group will treat the information contained confidentially. This information may be shared with a third party when it concerns medical health or care of the individuals listed. If you wish to access this information or have any queries in relation to the manner in which we handle your personal information, please do not hesitate to contact Jason - jason@stphils.org.au

Family Ticket (2 Days) 0

VKP 2026 Registration Form

Family Details

Parent 1 Name *

Parent 2 Name

Emergency Contact Name *

Tip: An emergency contact is whoever will be best to contact during the VKP programme in case of an emergency. Can be Parent 1 or 2, or someone else if they are more suitable.

Address *

Post Code *

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

Yes

No

Tip: If yes, please contact Jason with any supporting documentation.

Parent 1 Phone *

Parent 2 Phone

Emergency Contact Number *

Suburb *

Parents Email Address *

Names of Parents/Guardians picking up children from VKP *

Child 1 Details

Child 1 Name *

Date of Birth *

Any Allergies?

Any Dietary Requirements?

What day(s) will your child be attending VKP? *

Wednesday 16/7

Thursday 17/7

Friday 18/7

VKP Sunday

Gender *

School Year in 2026 *

Any Activity Restrictions?

Any other health information we should know?

Tip: Respiratory, muscular, epilepsy, etc.

If you are only registering one child for VKP, please scroll down to finalise your registration. If you are registering more children for VKP, please fill in the extra child details below before finalising your registration.

Child 2 Details

Child 2 Name

Date of Birth

Any Allergies?

Any Dietary Requirements?

What day(s) will your child be attending VKP?

Wednesday 16/7

Thursday 17/7

Friday 18/7

VKP Sunday

Gender

School Year in 2026

Any Activity Restrictions?

Any other health information we should know?

Child 3 Details

Child 3 Name

Date of Birth

Any Allergies?

Any Dietary Requirements?

What day(s) will your child be attending VKP?

Wednesday 16/7

Thursday 17/7

Friday 18/7

VKP Sunday

Gender

School Year in 2026

Any Activity Restrictions?

Any other health information we should know?

Child 4 Details

Child 4 Name

Date of Birth

Any allergies?

Any dietary requirements?

What day(s) will your child be attending VKP?

Wednesday 16/7

Thursday 17/7

Friday 18/7

VKP Sunday

Gender

Male

Female

School Year in 2026

Any activity restrictions?

Any other health information we should know?

Permission

Photos/videos of my child/children may be displayed and used to promote the group *

Additional Notes

Tip: Anything else the VKP team should know?

Checking the box below indicates:

My willingness to permit my child to participate fully in the Vacation Kids Plus Ministry of Eastwood Anglican Church
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 every effort will be made to contact me prior to instituting such procedures.

I consent to the above. *

The leadership team of the aforementioned group will treat the information contained confidentially. This information may be shared with a third party when it concerns medical health or care of the individuals listed. If you wish to access this information or have any queries in relation to the manner in which we handle your personal information, please do not hesitate to contact Jason - jason@stphils.org.au

Family Ticket (All Days) 0

VKP 2026 Registration Form

Family Details

Parent 1 Name *

Parent 2 Name

Emergency Contact Name *

Tip: An emergency contact is whoever will be best to contact during the VKP programme in case of an emergency. Can be Parent 1 or 2, or someone else if they are more suitable.

Address *

Post Code *

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

Yes

No

Tip: If yes, please contact Jason with any supporting documentation.

Parent 1 Phone *

Parent 2 Phone

Emergency Contact Number *

Suburb *

Parents Email Address *

Names of Parents/Guardians picking up children from VKP *

Child 1 Details

Child 1 Name *

Date of Birth *

Any Allergies?

Any Dietary Requirements?

What day(s) will your child be attending VKP? *

Wednesday 16/7

Thursday 17/7

Friday 18/7

VKP Sunday

Gender *

School Year in 2026 *

Any Activity Restrictions?

Any other health information we should know?

Tip: Respiratory, muscular, epilepsy, etc.

If you are only registering one child for VKP, please scroll down to finalise your registration. If you are registering more children for VKP, please fill in the extra child details below before finalising your registration.

Child 2 Details

Child 2 Name

Date of Birth

Any Allergies?

Any Dietary Requirements?

What day(s) will your child be attending VKP?

Wednesday 16/7

Thursday 17/7

Friday 18/7

VKP Sunday

Gender

School Year in 2026

Any Activity Restrictions?

Any other health information we should know?

Child 3 Details

Child 3 Name

Date of Birth

Any Allergies?

Any Dietary Requirements?

What day(s) will your child be attending VKP?

Wednesday 16/7

Thursday 17/7

Friday 18/7

VKP Sunday

Gender

School Year in 2026

Any Activity Restrictions?

Any other health information we should know?

Child 4 Details

Child 4 Name

Date of Birth

Any allergies?

Any dietary requirements?

What day(s) will your child be attending VKP?

Wednesday 16/7

Thursday 17/7

Friday 18/7

VKP Sunday

Gender

Male

Female

School Year in 2026

Any activity restrictions?

Any other health information we should know?

Permission

Photos/videos of my child/children may be displayed and used to promote the group *

Additional Notes

Tip: Anything else the VKP team should know?

Checking the box below indicates:

My willingness to permit my child to participate fully in the Vacation Kids Plus Ministry of Eastwood Anglican Church
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 every effort will be made to contact me prior to instituting such procedures.

I consent to the above. *

The leadership team of the aforementioned group will treat the information contained confidentially. This information may be shared with a third party when it concerns medical health or care of the individuals listed. If you wish to access this information or have any queries in relation to the manner in which we handle your personal information, please do not hesitate to contact Jason - jason@stphils.org.au