About Us
Team
Ministries
Coro Kids and Juniors
Coro Youth
Coro Young Adults
Life Groups
mainly music
Contact
Contact Us
Connect
Giving
About Us
Team
Ministries
Coro Kids and Juniors
Coro Youth
Coro Young Adults
Life Groups
mainly music
Contact
Contact Us
Connect
Giving
Youth Registration
Participant details
Name
(Required)
First
Last
Date of birth
(Required)
DD slash MM slash YYYY
Personal phone (if applicable)
School
(Required)
Year Level
(Required)
Year 7
Year 8
Year 9
Year 10
Year 11
Year 12
Does your family regularly attend a church?
(Required)
Yes, at Coro Uniting
Yes, at another church
No regular attendance
Photo of participant
Accepted file types: jpg, png, avif, heif, Max. file size: 50 MB.
If you are able to upload a photo of the participant it will assist our team of leaders to greet them well. It also helps new leaders who join our team to get to know names quickly!
What church do you attend?
Parent/Carer/Guardian Details
Name
(Required)
First
Last
Relationship to participant
(Required)
Email
(Required)
Phone
(Required)
Second Emergency Contact
In addition to Parent/Carer/Guardian
Name
(Required)
First
Last
Relationship to participant
(Required)
Email
Phone
(Required)
Confidential Medical Report
Any medical conditions we should know about?
Any dietary needs (including food allergies)?
Any special care required?
Please specify; e.g. behavioural issues, engagement issues.
Any medications being taken?
(Required)
Yes
No
What medication, and is there any relevant information the team should know about?
(Required)
File
Accepted file types: jpg, png, avif, heif, pdf, Max. file size: 50 MB.
Please upload any relent Medical Docs e.g., Asthma Plans, EPIPen Plans etc. that we need to know about to care for your young person.
Ambulance Cover
Ambulance Cover? If yes please provide details.
Permission for Medical Treatment
I agree to the Medical Treatment Terms:
(Required)
I authorise the leaders in charge to arrange any medical treatment deemed necessary for my young person at any time during Coro Youth or related activities, in circumstances where it is impractical to communicate with me. This includes the use of an ambulance. I accept full responsibility for the payment of all expenses associated with such treatment.
Permission to be Driven by a Youth Leader
Permission to be driven by a youth leader
(Required)
Yes, Full License Only
Yes, P2’s ok
No
I do/do not (select above as appropriate) consent to my youth being driven by a youth leader for the occasional events that require this
Permission to be Photographed or Filmed
Permission to be photographed or filmed for use,
Internally at Coro Uniting
On the Church Website
On the Coro Youth Instagram
There are times when youth may be photographed, or filmed for example in youth program activities or special events. I give permission for photos/videos of my youth to be used (Select all above that apply. Leave blank if no use permission given.)
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