PAC Playtime • Panania Anglican Church

Child information

One child per form please

Welcome to PAC Playtime.

Please complete the following registration form.

Our playgroup runs Mondays and Thursdays 9:30-11:30am turing term time. $2 per child per week ($5 for families of 3 or more children).

We look forward to seeing you at Playtime this year!

Child Name *

Last Name *

Child's Date of Birth

Parent/Carer Name *

Parent/Carer Mobile *

Email Address *

Street Address

Suburb

Postcode

Playtime day attendence

Monday

Thursday

Health Information

Tip: Anything we need to know about your child that will help us care for them, including relevant medical conditions, learning distinctives, or dietary/physical restrictions.

Permission for emergency medical treatment *

Yes

Tip: In the case of an emergency where an adult carer or child is unable to obtain medical assistance.

Access Information

Tip: Please let us know if there is anyone legally not allowed to leave the church grounds with your child

Media Permission *

Yes

Tip: I give permission for my child to appear in photos or videos of the ministry that may appear on social media