Infinity Youth Registration 2025 • Rouse Hill Anglican Church

Registration Form 2025

Details About Youth

First Name *

Last Name *

Preferred Name

Gender *

Youth Mobile Number *

Youth Email Address *

Mailing Address *

Mailing Postcode *

Date of Birth *

School *

School Grade *

Behavioural Details

Allergies

Allergy Details

Anaphylaxis

Yes (food related)

Yes (non food related)

Other Helpful Information

Parent/Guardian Details

Parent First Name *

Parent Last Name *

Parent Email *

Parent Mobile *

From time to time leaders from Infinity may contact your child for encouragement (years 10-12) and logistics (years 7-12) in accordance with Safe Ministry Guidlines.

Infinity Contact Permission *

Infinity Leaders can contact my child

Do not contact

From time to time photos and videos of youth taken at Infinity events will be displayed publicly (online and in print) unless indicated below.

Photo Consent *

Photos and video may be taken

Do not take photos and videos

By submitting this form, I give permission for my child to attend regular activities at Infinity Youth (Rouse Hill Anglican Church).

I authorise the Infinity leaders, in the event of an emergency, to obtain at my expense any medical, ambulance or other services that are considered necessary for my child.

Signed by *