Pittwater Uniting Church

Christmas Eve Workshop junior leaders

Junior leader permission form

This form should be completed by a parent of the junior leader

Junior leader's name (required)

Email (required)

Your best contact number (required)

Mother's details

Father's details

Admin team
K-2 team
3-6 team
Craft team
Tech team
Dance team
Catering team
Welcoming team

* some teams, such as catering, allow for morning or afternoon shifts; others, like K-2 and 3-6 would benefit most from a 8.30am to 3pm commitment.

I am available: all daymorningafternoon

Particular skills I can offer:
craft preparation before the workshopgamescraftregistrationpastoral care/prayerdrama coachwelcomingscenerysoundpublicitylightingvideo recordingfirst aidcatering/kitchencrèche assistantbaking at homeputting up decorationssetting uppacking up ready for Christmas Day services

I hereby consent to my child listed above attending the Christmas Eve Workshop (CEW) at Pittwater Uniting Church as a junior leader. I authorise the leaders of CEW, where it is impracticable to communicate with me, to arrange for my child to receive such medical treatment as the leader may deem necessary at any time during the activities of CEW. I further authorise the use of an Ambulance if, in the leaders' judgement, it is necessary. I accept responsibility for payment of all expenses associated with such treatment. I appreciate that every care will be taken by the leaders of the CEW and that the leaders and those connected with that group cannot be held responsible for personal injury, loss or theft of property affecting my child. I confirm that the medical particulars given by me are correct.

I accept responsibility for the declaration above. I give permission for my child to be filmed or photographed during the Christmas Eve Workshop. I give permission for my personal details and information to be kept confidentially and used by the named church on this document.

Please fill in these 4 characters

By clicking "I agree" you are giving assent and permission for the above.