APPLICATION DATE *

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Child 1 Name *

Please enter Childs 1 full name

First Name

Last Name

CHILD 1 DOB *

Date of birth

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Child 2 Name (if applicable)

Please enter Childs 2 full name

First Name

Last Name

CHILD 2 DOB

Date of birth

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Child 3 Name (if applicable)

Please enter Childs 3 full name

First Name

Last Name

CHILD 3 DOB

Date of birth

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PARENT OR CAREGIVERS NAME *

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First Name

Last Name

PARENT OR CAREGIVERS DOB *

Date of birth

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Phone Number *

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HOW DID YOU FIND OUT ABOUT MAINLY MUSIC *

FRIEND/RELATIVE

WEBISTE

ENCOMPASS CHURCH

ENCOMPASS CARE VIC

OTHER

PHOTOS *

From time to time photos are taken at mainly music to document the fun at our sessions. These are used by the church that runs this mainly music group. The photos might be used on photo boards, on a private Facebook page for this mainly music, or in the promotion of this local mainly music. I agree to photos of our family being used for these purposes. I understand that during mainly music, parents/carers are expected to remain with and take responsibility for their child/ren. I know that although the organising team will take all reasonable care, there are still risks to manage.

I AGREE

Social media *

Photos of families at mainly music cannot be used on any social media site unless they contain only your child or children where you have permission from parents. Please ensure you do not load photos with groups of children or adults where no permission has been granted. Filming or loading entire songs is prohibited. Please limit film footage to your child/ren only and to a short portion of the song. Thank you.

I AGREE