MitchYouth - Parent/Caregiver Form

Welcome to MitchYouth! We're so thankful to have you here.

Please take a few moments to update your contact details with us. This will ensure you and your child/ren don't miss out on any awesome MitchYouth related information.

If you have any questions feel free to email or text Paul our Generations Pastor at:

paul@mitchamhills.church

0479180237

For more information on what we are about, check out our website (mitchyouth.com) or Instagram (@MitchYouth).

Child Information

If you have more than one child, please just put the first child's information here and then resubmit the form with the next child's name afterwards.

Name *

Date of Birth *

Does your child have any allergies, medical conditions or dietary requirements? *

Yes

Is there any extra information about your child that would be important for us to know?

Parent / Caregiver Information

Parent / Caregiver Name *

Parent / Caregiver Mobile Phone *

Parent / Caregiver Email *

Permissions

Do you give permission for your child to travel by hired bus to an offsite event or activity? *

Yes

In the event that we require private vehicle transport to an offsite activity, do you give permission for your child to travel in the car of a MitchYouth leader, who is fully licensed and insured? MitchYouth will never be alone in a car with a leader. There will always be multiple MitchYouth per vehicle. *

Yes

I give permission for my child to be in photos on MitchYouth & Mitcham Hills Church Social Media/Website. *

Yes - full permission

Yes - back of head/ non-identifying ONLY

Signature *common.clear

forms.clearFields

Browser Not Supported

MitchYouth - Parent/Caregiver Form

Child Information

Parent / Caregiver Information

Permissions