Kids' Church Sign Up

Kids' Church is the children's ministry of Lanyon Valley Anglican Church. Kids' Church runs during Morning Church (10am) during term, at Gordon Primary School, and is for children in preschool up to year 5 at school.

Please fill in the form below to sign up your child for this year. Additional children can be added to this form.

For information regarding this registration form please contact the church office, office@lvac.org. For information regarding Kids' Church please speak to any of the Kids' Church leaders.

About the child

First Name *

Last Name *

Date of Birth

School Grade

Your child's interests, etc.

Medical & dietary

Dietary requirements / allergies

Medical information

I give permission for urgent medical attention to be administered to my child in the event that I cannot be contacted.

Yes

About the parent/guardian

Parent/Guardian's name

Phone Number

Email Address

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I give permission for my child to attend Kids' Church at Lanyon Valley Anglican Church.

Yes

I give permission for my child to be photographed during Kids' Church or church events and for these photos to be used during church services or on our church website.

Yes