BIG DAY IN • St Jude's Anglican Church Bowral

A BIG DAY IN of holiday fun!
We can't wait to hear the best news from the Bible, play awesome games and watch "The Bad Guys" movie!
Come and hang out with us!

For school years 2-6
$20 first child, $10 siblings.

Date & Time

4 July, 2022 9:00 AM - 5:00 PM

45 out of 70 remaining tickets available

Type

Price

Quantity

First Child Ticket

Price
A$20.00

Quantity
Siblings Ticket

Price
A$10.00

Quantity

Applying discount...

First Child Ticket 0

BIG DAY IN JULY 2022 Registration Form

I am the parent/legal guardian of the child. *

Yes

Parent / Guardian 's Full Name *

Mobile Number

Email Address

Second Parent's First Name (optional)

Second Parent's Last Name (optional)

Second Parent's Contact Number (optional)

Second Parent's email (optional)

Child's first name *

Child's last name *

Date of birth *

Gender *

School *

School grade *

Allergies (type n/a if not applicable) *

Details of allergies (type n/a if not applicable) *

Does your child have an anaphylactic allergy that may require the use of an epipen? *

Yes (I will provide an epipen and give any relevant instructions to St Jude's Holiday Club First Aid Desk)

Does your child have any special dietary requirements? *

Yes

Details of dietary requirements

Does your child have Ambulance Cover? *

Yes

Medicare Card number *

Position on card (number in front of child's name) *

GP name and contact number *

Are there any medication(s) to be taken at BIG DAY IN? *

Yes (I will provide the medication(s) and relevant dosage instructions to the Holiday Club First Aid Desk when I drop off my child.)

Do you give permission for your child to take one dose of paracetamol, at the dose recommended by the manufacturer, if required? *

Yes

Does your child have asthma? *

Yes (I will leave the management plan and inhaler, if used, with the Holiday Club First Aid Desk when I drop off my child.)

Anything else to help us care for your child? (learning, behavioural, etc)

Emergency contact name (must not be parent or legal guardian named below) *

Emergency contact person's relationship to child. *

Emergency contact mobile *

Is there anyone legally restricted from seeing your child? *

Yes

Name of person restricted from seeing your child (type n/a if not applicable) *

If parent/guardian cannot pick up my child, I give permission for the following people to do so:

I give permission for photos and video of my child to be taken at Holiday Club to be used in presentations in church (on screen and in print). *

Yes

I give permission for my child's photograph to be taken and used for the St Jude's website, St Jude's publications and St Jude's training seminars. *

Yes

Please read carefully as all boxes must be ticked in order for your child to attend. *

I give permission for my child to participate fully in all club programs.

I give permission for my child to watch "The Bad Guys" - Dreamworks - Rated PG

I and the emergency contact person will be contactable on the phone numbers given whilst my child/children are in attendance at BIG DAY IN.

In case of a medical emergency, I give permission to the doctor chosen by the church authorities or other persons supervising or administering the children's activity, to secure proper treatment for and/or order hospitalisation, injection, anasthetic, or surgery for my child as named. I understand that every effort will be made to contact me prior to instituting such procedures.

I agree to pick up my child should any medical or behavioural concerns arise as discerned by the leadership.

I will not send my child/children to BIG DAY IN if they are unwell and will notify St Jude's admin as soon as possible.

I acknowledge that nut products are prohibited at St Jude's Church and BIG DAY IN.

I confirm that the information given in this form is true and correct and will advise St Jude's of any change to this information.

Siblings Ticket 0