The personal information requested is being collected and will only be used to ensure that Banksia Gardens procedures are effective, in accordance with the Information Privacy Act 2014. This information will only be used for its intended purpose by Banksia Gardens Community Services and will not be disclosed to any other party except as required by law. If you fail to provide this information, the registration may not be processed. You may access the information by contacting Banksia Gardens Community Services on 9309 8531Authorising BGCS to use images of your children for the organisation’s promotional purposes.
I Consent
Please indicate whether you give our team consent to speak to your child/children's school teacher(s) about their educational needs:
Do you consent to Banksia Gardens to take photographs of your children for promotional purposes? (We will consult you before publishing any images of your children if you give consent)
I understand that as part of the activities on offer in the Banksia Gardens Study Group Program, my children will take part in sports, art and healthy movement programs which have a moderate risk of personal injury. I have been informed about the processes BGCS uses to minimize these risks and I therefore authorise my children to be part of the Banksia Gardens Study Group.
Details
Carer First Name
Carer Last Name
Email Address
Contact Number
Relationship to Participants
Address
Preferred Spoken Language
Postcode
Would you like an interpreter?
Emergency Contact
Contact First Name
Contact Surname
Relationship to you
Participant Details and Attendance Record
First Name
Last Name
Date of Birth (dd/MM/yyyy)
Medical conditions, disabilities, allergies, or additional needs?
Gender
Grade Level
School
Program ID 2
Date
Program Name
Attendance Tracking ID
Program ID
Registered 2022
Registered 2023
In Group?
Special needs?
Approved for Attendance
Sub Group
Activity
Registered 2024
Attachments