Emerge Youth - Registration • One Hope Community Church

We can't wait to have you a part of Emerge Youth! We meet weekly on Friday nights throughout the school term, hoping to help students grow in their relationship with Jesus, their understanding of themselves and the world around them.

Please fill out this information in case of any emergency, and so we can keep you in the loop about all that is happening at Emerge Youth and other programs and events at One Hope Community Church.

Student Details

First Name *

Last Name *

Date of Birth *

School Grade *

Gender

Phone Number (Mobile or Home)

Home Address

Home City

Home State

Home Postcode

Allergies/Dietary Requirements

Permission to Photograph *

Ýes

Parent / Guardian Details

Name *

Contact Number *

Email Address *

Cultural Background

Is there a cultural background that you would like us to know about? (e.g. Indigenous heritage, or English a second language)

Cultural Background

Permission to participate in Emerge Youth activities

I consent to my child/ren taking part in the approved program of activities for the One Hope Community Church.

I also authorise the leader/s in charge of the above mentioned group where it is impractical to communicate with me, to arrange for my child/ren to receive such medical or surgical treatment as the leader/s may deem necessary at any time during the activities of One Hope Community Church.

I further authorise the use of Ambulance and/or anaesthetic by a qualified medical practitioner if in his/her judgement it is necessary. I accept responsibility for payment of all expenses associated with such treatment.

I appreciate that every care will be taken by the leaders and those connected with that group cannot be held responsible for personal injury, loss or theft of property affecting my child/ren.

Agreement of Parent or Guardian *

I agree