Family Consent 2025 • Toongabbie Anglican Church

Welcome! It is great to have your child participating in Toongabbie Anglican Church's Children & Youth programs. We are committed to ensuring that our programs are safe for all involved.

Filling out this form will help us care well for your child.

If you ever have any concerns, please contact Rachael Nash (Children's Pastor, 0405 679 703, rachael@tac.church) or Mark Baines (Youth Pastor, 0401 480 101, mark@tac.church).

Family Address

Address *

Suburb *

Postcode *

Home Phone

Parent/Caregiver 1 Name *

Parent/Caregiver 1 Email Address *

Parent/Caregiver 1 Mobile Number *

Relationship to child(ren)

Parent/Caregiver 2 Name

Parent/Caregiver 2 Email Address

Parent/Caregiver 2 Mobile Number

Relationship to child(ren)

Emergency Contact (alternative to parents/caregivers) Name, Number, Relationship to child *

Tip: eg. Rachael, 0412 345 678, Family Friend (this is some one we will contact in an emergency, if we can't get in contact with either parent)

Child Details

First Name *

Preferred Name

Last Name *

Gender

Date of Birth *

My child is at preschool/school

Yes

Child's Email Address

Tip: If applicable

Child's Mobile Number

Tip: If applicable

Medical conditions we should know about (medication, chronic illness, allergies, other):

Special care needs we should know about (such as behavioural concerns):

Dietary needs we should know about:

Is there anyone who is legally restricted from seeing your child? (If yes, please provide documentation, e.g. AVO or Family Court Order)

Any other comments?

Photography

I give permission for photos/videos of my child(ren) to be taken at church events and displayed publicly (online and in print).

Photography Consent (kids/youth) *

Yes

General Consent

Please read these statements carefully:

I am aware that this group is organised and run by Toongabbie Anglican Church and understand that there will be Christian content in some activities.

I consent for my child(ren) to participate in all organised activities.

I consent for them to receive medical aid in the event of any accident or sickness and agree to pay any fees thus incurred. I understand that personal accident insurance is my responsibility, and that Toongabbie Anglican Church and its representatives accept no liability for any accidents.

I understand that my child(ren)’s basic information may be accessed by those in the church community with up-to-date working with children and safe ministry accreditation. Personal information may also be made available to medical and emergency services if considered necessary.

I acknowledge that being part of a community involves mutual care and consideration, and therefore agree that unacceptable behaviour may result in my child being temporarily or permanently prohibited from attending the group.

I will provide the leaders with any information relevant to the wellbeing of my child. This might include supporting documentation (eg: AVO, Family Court Order) if there is anyone who is legally restricted from seeing my child.

I confirm that the information given in this form is true and correct, and will advise of any changes to this information.

Please speak to the Rachael Nash (Children's Pastor, 0405 679 703, rachael@tac.church) or Mark Baines (Youth Pastor, 0401 480 101, mark@tac.church) if you have any concerns.

I accept and give consent *

Yes

Date *

Signature *

Tip: Please type your full name to sign this form