Thrive Registration 2026

First Name *

Last Name *

Gender *

Date of Birth *

Dietary Requirements

Dietary - Other

Medical conditions for leaders to be aware of

Parent / Carer First Name *

Parent / Carer Last Name *

Parent / Carer Mobile *

Parent / Carer Email *

Street Number & Name *

Suburb *

Postcode *

Would be willing to:

Attend

Host

Other

Other details:

Image + Media Preferences *

Tip: Internal - Within BBC e.g. Newsletter, Private FB Group, Printed Directory External - e.g. Website, Social Media, Promotional Material

Parent Carer / Permission *

Tip: Please acknowledge the following: Children attending Thrive are to remain under the care and supervision of the parent/ carer that they came with. At no time should children attending be left in the care of older children/ siblings. If you are hosting Thrive at your house, please be mindful of removing any hazards in your home that may pose a risk to small children. I consent to my child attending Thrive. In any emergency, I authorise the leaders in charge to arrange for my child to receive such first aid, medical or surgical treatment as the leader may deem necessary at any time during the activities. I further authorise the use of Ambulance and/or anaesthetic by a qualified medical practitioner if in his/her judgement it is necessary. I accept responsibility for payment of all expenses associated with such treatment. I agree to indemnify and hold harmless the Busselton Baptist Church and any individual staff or voluntary leaders against all claims arising out of any injury to my child and the relevant activity being undertaken, unless such injuries result from a failure in the duty of care of the Busselton Baptist Church, individual staff or volunteer leader.

Child's Details

Parent / Carer Details

Parental Declaration