2026 Youth Group Registration Form

2026 Youth Group Registration Form (Yr 7-12)

Do you attend a Sunday Service at Caboolture Baptist? *

Student Information

First Name *

Last Name *

Date of Birth *

Gender *

School

School Grade *

Student Contact Details

Other than general information, it is our ChildSafe policy to always attempt to contact legal parents, guardians and/or carers first, to get their permission to contact students directly.

Student Mobile Number

Student Email Address

Tip: Email addresses are extremely helpful to know also!

Home Address *

Home City *

Home Postcode *

Safety and Care Details

Parent & Emergency Contact Information

In case of an emergency, please list the phone numbers where you and a freind or relative may be contacted during the course of the program.

Parent/ Caregiver First Name & Last Name *

PARENT/ Caregiver Phone Number *

PARENT/ Caregiver Email

Tip: Email addresses are extremely helpful to know also!

Please provide the details of a second emergency contact. These details will be used if we are unable to contact the Parent details provided above. It is important that these details are NOT THE SAME as the details above.

EMERGENCY CONTACT First Name & Last Name *

Tip: Please list someone other than the parent listed above who we might contact (if necessary) in an emergency.

EMERGENCY CONTACT Phone Number *

EMERGENCY CONTACT Relationshsip *

Medical Information

Are there any allergies, dietary requirements, or medical conditions *

Allergies

Dietary Requirements

Medical Conditions

N/A

Allergy, Dietary & Medical Requirement Details *

Please note that in regards to non-prescription medications such as paracetemol (e.g. Panadol), it is our policy that team members and leaders do not provide medications.

Consent

Who will collect your child at the end of the program? Please nominate all adults you trust to collect your child at the end of the program:

Consent to Collect *

Do you give permission for us to contact your child about relevant ministry information?

Consent to contact *

Yes

By completing and submitting this registration form, you agree that photographs may be taken of the participant while attending this ministry and used for promotional purposes. If you do not wish for photographs to be taken of your child, please opt-out below.

Photo Opt Out

I DO NOT give consent for photographs to be taken.