Mainly Music

Family Registration (free to register) 0

Please complete details for each child you will be bringing to mainly music:

Number of children in your family *

Child 1 Name *

Child 1 DOB *

Please provide details (Child 1) *

Anything else you would like to share (including neurodivergence)?

Child 2 Name

Child 2 DOB

Please provide details (Child 2) *

Anything else you would like to share (including neurodivergence)?

Child 3 Name

Child 3 DOB

Please provide details (Child 3) *

Anything else you would like to share (including neurodivergence)?

Child 4 Name *

Child 4 DOB *

Please provide details (Child 4) *

Anything else you would like to share (including neurodivergence)?

Details about your family: (please complete where applicable)

First Name

Date of Birth

Tip: Optional (but it's nice to get a birthday treat isn't it?)

Home Address

Home Address Line 2

Home Suburb

Home Postcode

Last Name

Mobile Number

Emergency Contact Details

Emergency Contact Name *

Emergency Contact Mobile Number *

Emergency Contact Alternate Number

For Caregivers (please complete where applicable)

Who Will Be Bringing the Child/ren Registered? *

Parent (me)

Parent (other)

Caregiver

Relationship to child/ren

Caregiver address

Caregiver phone numer

Caregiver email address

Parent (other) Name

Parent (other) address:

Parent (other) mobile number:

Parent (other) email address:

How did you find out about mainly music?

Please tell us how you heard about our program:

A Word about Photos and Responsibilty of Parents/Caregivers:

Permission for Church to Use Photos

From time to time photos are taken at mainly music to document the fun at our sessions. These are used by the church that runs this mainly music group. The photos might be used on photo boards, on a private Facebook page for this mainly music, or in the promotion of this local mainly music.

I agree to photos of our family being used for these purposes. *

Responsibilty of Parent/Caregiver:

I understand that during mainly music, parents/carers are expected to remain with and take responsibility for their child/ren. I know that although the organising team will take all reasonable care, there are still risks to manage.

I understand and accept that I am to remain with, and take responsibility for my child/the child I am taking care of: *

Posting to Social Media:

Photos of families at mainly music cannot be used on any social media site unless they contain only your child or children where you have permission from parents. Please ensure you do not load photos with groups of children or adults where no permission has been granted. Filming or loading entire songs is prohibited. Please limit film footage to your child/ren only and to a short portion of the song.

Thank you.

I understand and accept the Social Media policy.

The information being collected in this form is for the express purpose of this mainly music. The use of your details will also be used to advise of upcoming mainly music events and details of the children and family programmes being run through our church.

Date & Time

Family Registration (free to register) 0