BridgeKids Enrolment Form

Each year we need to ensure our database has the correct contact and medical information for your children so that we can best care for them in the BridgeKids ministries they are involved in. To make the process easier for you, we've included all our BridgeKids ministries in one form.

Please fill out one registration form per each child.

CHILD's INFORMATION

First Name *

Middle Name

Last Name *

Gender *

Home Address *

Home Address Line 2

Home City *

Home State *

Home Postcode *

Date of Birth *

School Grade

My child attends the following:- *

Creche (Ages 0 to 4yrs - Sundays)

Junior Buzz (Ages 4 to Prep - Sundays)

Sunday Buzz (Grades 1 to 6, Sundays)

Friday Night Buzz (Grades 3 to 6, Fridays)

Playtime (Ages 0 to 5yrs)

ALLERGIES

Description of Allergy

Medication / Treatment Required (A)

MEDICAL CONDITION

Description of Medical Condition

Medication / Treatment Required (MC)

OTHER CONCERNS

Description of Other Concerns

PARENT/CARER DETAILS

First Name & Last Name (EC1) *

Relationship (EC1) *

Phone Number (EC1) *

Email Address *

OTHER EMERGENCY CONTACT

First Name & Last Name (EC2) *

Relationship (EC2) *

Phone Number (EC2) *

PHOTO PERMISSION
During some of our programs, photographs may be taken. Do you give consent for photographs of your child/children to be used in Marketing & Social Media? (No names used).

Photo Permission Given *

Yes

Additional Comments

To finalise your registration, please click on the 'submit' button.

Privacy Policy

By selecting "submit" you are confirming that you have read and agree to the Bridgeman Baptist Community Church Privacy Policy.

I have read and agree to the Privacy Policy.