Stromlo Kids Registration • Stromlo Christian Church

Stromlo Kids Registration Form

We're so excited to have your child join us in Stromlo Kids.

Please fill out the form below with your child's information, adding another submission for each child.

About Your Child

Basic Information

Child's First Name *

Child's Last Name *

Preferred Name

Gender *

Date of Birth *

School Grade in 2024 *

Medical and Dietary Concerns

Please give details as required

Medical Conditions:

Dietary Issues:

Other Considerations (including regular medication):

Has your child ever needed extra help from someone like a physio or speech therapist?

Medicare Number:

Extra Information

Name of School (if applicable)

How would you describe your child in three words?

What does your child like to do?

What does your child not like to do?

Hobbies/sports etc.:

Anything else we need to know about your child?

Media Permission

By ticking this box, I understand that photos and videos of my child may be taken and used within our church and for advertising which may include our website. No names will be included when used outside church.

I give Media Permission