2025 NextGen Ministries Family registration form
This form is for any family who regularly attend or are members of Encounter Baptist Church, and have children under 18 attending one of the programs. This form provides permission for the child/ren to participate in and attend regular program activities.
Parents and Guardians Details
Names:
Address:
Phone:
Email:
Emergency Contact:
Name:
Contact Number:
Child/ren's Details:
First Child:
Name:
D.O.B
Program:
Kids Church
Deeper Youth (Friday Nights)
Health/Allergies
Any other information (behavioural or family concerns, specific requests)
Second Child:
Name:
D.O.B
Program:
Kids Church
Deeper Youth (Friday Nights)
Health/Allergies
Any other information (behavioural or family concerns, specific requests)
Third Child:
Name:
D.O.B
Program:
Kids Church
Deeper Youth (Friday Nights)
Health/Allergies
Any other information (behavioural or family concerns, specific requests)
Fourth Child:
Name:
D.O.B
Program:
Kids Church
Deeper Youth (Friday Nights)
Health/Allergies
Any other information (behavioural or family concerns, specific requests)
*If your child/ren have health/allergy conditions requiring a management plan or emergency medication, this must be with the child when they are signed into the program or they may be refused admission.
Parent/Guardian Consent:
I/we give consent to my child/ren attending the relevant Encounter Baptist Church's NextGen Program for their age group (Kids Church, EBC Youth) and commit to encouraging my child/ren to co-operate with the leaders and other children.
Please note Kids Church and EBC youth have a sign-in and out sheets as well as the registration form.
I/we consent for the leader in charge to arrange medical services necessary in the event of an emergency; and agree to pay all associated medical expenses incurred on behalf of this child. I agree to indemnify and hold harmless the Baptist Union of Victoria and Encounter Baptist Church Inc. against all claims, demands, suits and liability of whatever nature and howsoever arising out of the injury to the child, and the relevant activity being undertaken.
I/we will be happy to receive information relating to events and activities for children organised by Encounter Baptist Church activities using the email address listed on this form.
By clicking the "Send" button on this form I/we consent to these conditions during the 2025 calendar year.
Please enter your name here to 'sign' this form.