Child and Youth Registration • NBC Central

This form is to be completed by the Parent or Guardian of a young person looking to be involved in either the Children's or Young People's activities at Narangba Baptist Church

Young Persons Details

First Name *

Last Name *

Preferred Name

Date of Birth *

Gender *

School Grade

Home Address *

Allergies

Medical Conditions

Does your Young Person have an Epi-Pen *

Is there anything else you would like us to know?

Parent/Guardian Details

First Name of Parent/Guardian

Home City *

Phone Number of Parent/Guardian *

Last Name of Parent/Guardian *

Home Postcode *

Parent/Guardian Email Address *

Emergency Contacts

First Contacts Name *

Preferred Phone Number *

Second Contacts Name *

Preferred Phone Number *

Policies and Permissions

Statement of Commitment.pdf

Cyber-Security and Online Conduct.pdf

From time to time PHOTOS or VIDEOS may be taken of Young people involved in various activities. These Photos/videos may be used by NBC in reporting on the event, or promoting future events. Reports and Promotions can include posting to social media i.e. NBC Facebook page and NBC Website. Do you agree to your young persons photo being taken and used in this way?

Photo/Video Permission *

By submitting this form you are giving permission for

your Child or Young Person's to be involved in the regular Child and Youth activities of NBC. One of our Team Leaders will be in contact with you to confirm this.
your Child or Young Person's details to be added to the Narangba Baptist Church's Database. This Database is used for communication, recording attendance and the storage of necessary information. It is managed in compliance with the Narangba Baptist Church's Privacy and Cybersecurity Policies

Note: for special events beyond the regular activities(Camps, Outings etc), specific registration forms will be available and permission will be asked for.