Neurodiversity in the Church - Child minding • Toongabbie Anglican Church

We want to make this event as accessible as possible for all our members to come along. If you need help from our creche, please let us know by completing the form below

Parent/Carer Details

Parent/Caregiver 1 Name *

Parent/Caregiver 1 Email Address *

Parent/Caregiver 1 Mobile Number *

Home Phone

Relationship to child(ren)

Parent/Caregiver 2 Name

Parent/Caregiver 2 Email Address

Parent/Caregiver 2 Mobile Number

Relationship to child(ren)

Child Details

First Name *

Preferred Name

Last Name *

Gender

Date of Birth *

My child is at preschool/school

Yes

School Grade *

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:

Any other comments?