Whitehill Kids - New People

Parent/Guardian Info and Emergency Contacts

Home Address

Dietary/Medical Info

Permissions

Photos will be taken at events and programs at Whitehill. These photos may be used in various media formats including printed and online publications.
If you tick no you acknowledge that you will inform your child so that they can make appropriate precautions to ensure they are not in prominent places in photos such as being in the front row for on-stage performances.

Other Information

Are there any legal orders or other information we need to know regarding this child?

Your Agreement with the Organisation

I am aware in signing this document in regards to my family's participation in this program that certain elements of the program could be physically and emotionally demanding. Furthermore, I understand that certain inherent risks and dangers exist in the activities in which my family will be participating. In the event of any emergency where the listed parents/guardians are uncontactable:

  • I authorise the leaders to obtain medical advice and/or assistance which they deem necessary.
  • I further authorise qualified practitioners to administer anaesthetic if required.
  • I accept all operation, blood transfusion and/or anaesthetic risks involved in the event that such procedures are deemed necessary.
  • I accept the responsibility for payment and agree to pay medical, transport and any other related expenses.

I confirm that the information contained in this document is true and correct. I am aware that this information is collected to provide the best possible care for young people and I agree to inform the leader of any changes to these details.

PLEASE ENTER YOUR NAME BELOW TO COMPLETE FORM