Add second Adult/Guardian contact details and Child/ren's details.
Are there any custody issues NEB need to be aware of?
Tick this option if there are other adults that you wish to authorise to sign-out and pickup your child from NEB Youth or be contacted in the event we cannot contact you.
I understand that acceptable behaviour is a necessary requirement for the enjoyment and safety of the children and leaders at NRG Kids Club and therefore understand that unacceptable behaviour may result in my child being temporarily or permanently excluded from NRG Kids Club activities.
I give my permission for NEB and its representatives to take photographs or videos of my child while attending NEB Kids ministries which may be used to promote NEB Kids including but not limited our website, during our church services or in our annual general meeting reports.
Do you give permission for NRG Leaders to administer paracetamol as required?
Please enter below any other information you believe to be relevant to your child that you deem we should be aware of or would assist us in meeting our Duty of Care.
Please enter the date this form was completed.
I have provided all relevant and vital information personal and or medical details that may be of benefit whilst attending NRG Group events.
By entering your name below you are positively identifying yourself as the parent/carer identified in this form and the signature is a true authorisation by said person.