Under the Sea Kids Club

Come Join the Fun at Under the Sea!

For kids at school in Kindergarten to year 6

When: Thursday 8th & Friday 9th October
9:00 AM – 3:00 PM (registrations open from 8:30 AM)

Where: Orange Baptist Church, 59–61 Sale Street, Orange

Cost: $35 per child – includes all activities, morning tea, and a free sausage sizzle dinner for the whole family at the Family Fun Evening!

What to bring: lunch, a drink bottle and a hat

Family Fun Evening: Friday, 9th October, 3:00–5:30 PM

Spaces are limited – register below to secure your spot!

Child Information

You will need to fill out a new registration form for each of your children attending Under the Sea.

Name:

First

Last

Preferred Name:

Date of Birth:

School:

School Year:

Please name a friend that is also attending: (if applicable)

Parent / Guardian Information

Name:

First

Last

Phone:

Email:

Address:

Address Line 1

City

State / Province / Region

Postal Code

Emergency Contact (in case parent/guardian is unavailable)

Name:

First

Last

Relationship to Child:

Phone:

Supporting Your Child

We want every child to feel safe, happy, and included during our holiday program. All of our staff and volunteers adhere to Safe Church requirements and hold valid Working With Children Check numbers. Please let us know if there’s anything that will help us support your child. If you have any concerns about our Safe Church requirements, please contact churchoffice@obc.org.au for further information.

Does your child have any medical, developmental, or learning needs we should be aware of? (e.g. autism, ADHD, anxiety, sensory processing differences, hearing/vision needs, medical conditions)

Medical Conditions
Developmental / learning needs
Behavioural / sensory needs
None

Please list:

Medical Conditions

Please list:

Developmental / learning needs

Please list:

Behavioural / sensory needs

Is your child on any medication?

Yes
No

Please specify:

Does your child have any allergies or food intolerance?

Yes
No

If yes, please specify:

My child may find these situations challenging:

If other, please list:

Things that help my child feel safe, calm, and included are:

If my child becomes upset, anxious, or dysregulated, what works best is:

Activities or environments my child especially enjoys:

Will your child need extra supervision or support during the program?

Yes
No

any hearing/vision sensory

If yes, please describe:

List anything else we should know to make this a positive experience for your child:

Would you like the leader who supports children with additional needs to contact you before the program?

Yes, please contact me
No, that’s not needed

Contact details:

Please include your name, best contact number, and preferred day/time to call.

Permissions and Declaration

Permissions and Consents

I give permission for my child to participate in all activities.
In case of emergency, I hereby authorise the staff/volunteers to seek medical assistance, and I agree to be responsible for all associated expenses.
I give permission for my child to be photographed/filmed for church promotional purposes.
I would like to receive information about future holiday kids programs.

Declaration and Signature

I, the undersigned, confirm that the information provided in this registration form is accurate and complete to the best of my knowledge. I agree to the participation of my child in Under the Sea. I acknowledge and accept that my child must follow the program rules and safety instructions. I acknowledge and accept that Orange Baptist Church staff and volunteers will take reasonable care to ensure the safety of all children. I release Orange Baptist Church and its staff and volunteers from liability for any injury, loss, or damage that may occur, except where caused by proven negligence.

Signature

Clear Signature

Payment

Under the Sea Ticket

Price: $35.00

Square

Card

Name on Card

Come Join the Fun at Under the Sea!

For kids at school in Kindergarten to year 6

When: Thursday 8th & Friday 9th October 9:00 AM – 3:00 PM (registrations open from 8:30 AM)

Where: Orange Baptist Church, 59–61 Sale Street, Orange

Cost: $35 per child – includes all activities, morning tea, and a free sausage sizzle dinner for the whole family at the Family Fun Evening!

What to bring: lunch, a drink bottle and a hat

Family Fun Evening: Friday, 9th October, 3:00–5:30 PM

Spaces are limited – register below to secure your spot!

Child Information

Parent / Guardian Information

Emergency Contact (in case parent/guardian is unavailable)

Supporting Your Child

Permissions and Declaration

Payment

When: Thursday 8th & Friday 9th October
9:00 AM – 3:00 PM (registrations open from 8:30 AM)