MY New Kids Form

Parent Information

Tip: Street number and name

Tip: Suburb

Secondary Contact

Further Information

Child 1 Details

Child 2 Details

Child 3 Details

Child 4 Details

Child 5 Details

Media Release

I consent for Nations Church to use the images and words through video and/or photograph of the child or children registered on this form for the purpose of editorial, promotion, communications or public relations. 


Although Nations Church, its staff and volunteers will exercise all reasonable care in the conduct and supervision throughout all kids programs, to the extent permitted by law, I hereby waive all liability, costs, losses or claims against Nations Church, its employees, representatives and volunteers arising out of or in connection with the child or children registered on this form. The registration form has been signed with full understanding and consideration of all of the above.