Date & Time
18 July, 2026 9:00 AM - 2:00 PM
Type
Quantity
Kingdom Quest Registration
Quantity
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Kingdom Quest Registration
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CHILD INFORMATION
First Name
*
Last Name
*
Gender
*
Male
Female
Prefer not to say
Date of Birth
*
School Grade
*
Transition
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Home Address
*
Are you just visiting DLC?
Yes
No
Unsure
MEDICAL INFORMATION
Does the child have any allergies or dietary requirements? If yes, please specify:
*
Do they have any other medical conditions we should be aware of? If yes, please specify:
*
GUARDIAN/EMERGENCY CONTACT 1
First Name
*
Last Name
*
Relationship to child
*
Mobile Number
*
Email Address
*
GUARDIAN/EMERGENCY CONTACT 2
First Name
Last Name
Relationship to child
Mobile Number
Email Address
CONSENT & AGREEMENT
Image Consent
*
I agree that images of my child may be used in church publications and on social media channels. DLC Kids services may include photography and video recording. Your child's name will not be published or linked with any photographs or media content. I agree that DLC can use images as mentioned.
I do not consent to images of my child being used in church publications or on social media channels.
Medical Care Consent
*
I agree that DLC may authorise on my child's behalf whatever medical treatment he/she may reasonably require (this includes but is not limited to ambulance attendance and hospital treatment). I agree to pay all medical expenses incurred for said treatment.
Indemnity
*
I agree that DLC will take all reasonable steps to provide a safe environment for my child and to ensure that all equipment supplied for church activities is fit for purpose. I hereby agree to indemnify DLC, including but not limited to its volunteers, employees and authorised officers, against any claims arising from, or in connection with, any loss or injury or damage to property owned by or connected to my child.