Southside Kids

Child Safety Permission to proceed

At Southside, we care about the safety of all children who come along to church. This means that we do at least two things;

The first thing we do is all our Kids’ Church leaders are required to do training through the Presbyterian Church of Queensland called Pressafe (for more information head to https://pressafe.org.au/).

The second thing we do is we work with parents/guardians to make sure we have the information for the children who come to Kids’ Church so that we can make sure Kids’ Church is as safe a place for children as possible.

This is why we require a permission form for all children who participate in our prgorem. If you could, please fill out the form below, and the information will go to our team.

Southside Kids’ Church Permission Form

Parent/Guardian Information

First Name

Last Name

Mobile Number

Home Number

Address

Email Address

Child/ren's details

Please fill in their name/s, date of birth/s, grade/s where applicable

Childs home address (If the same as guardians please write 'as above'

Does your child/ren have any allergies?

For upper primary age: I would like my child to receive reminders about upcoming events via SMS and/or EMAIL.

Yes

If yes, please provide information for your child

Child's Mobile and/or Email

Emergancy Contact Name

First Name

Last Name

Relationship to Child:

Phone Number:

Privacy Declaration

I give permission for appropriate photos/videos of my child/ren taken during the program to be displayed in a public place (e.g. church publication, presentation, internet site, approved social media platform) unless I explicitly advise otherwise. I give permission for the personal details given herein to be provided to appropriate leaders and/or relevant medical/emergency services as deemed necessary. I understand the details given herein will be used by leaders to contact myself and/or my child/ren and that the details will not be given to any third party, except as provided above. Authorisations & Expectations: By completing this form, I hereby give permission for my child/ren to attend all scheduled activities this year, unless we explicitly advise the leadership team otherwise. In doing so I undertake to provide the leaders with any information relevant to the wellbeing of my child/ren prior to them attending any and all scheduled activities. I authorise our child/ren - that when advised by the youth team for schedules activities - to travel in a car driven by an approved leader or an approved parent, unless we explicitly advise the leadership team otherwise. (Your children will not be in a vehicle driven by a learner licence holder.) I understand that every effort will be made to provide a safe environment, however in signing this form I authorise the leaders, in the event of an emergency, to obtain at my expense any medical, ambulance, rescue or other services considered necessary. I also acknowledge that being part of a community involves mutual care and consideration, and therefore agree that unacceptable behaviour may result in my child/ren being sent home &/or being temporarily or permanently prohibited from attending the activities of this group.