Carols 2023 Children's Medical Form • Bracken Ridge Baptist Church

First Name *

Last Name *

Gender

Age

As a part of Carols we sometimes provide different costumes, and need to know the sizing of your child's clothes in order to have their costumes.

Shirt Size

Shoe Size

Pant Size

Do you consent to photos and video of your child being taken as to be shown on the Carols video recording? *

Medical Conditions and Allergies

Parent Name *

Parent Contact Number *

Parent Email *

Secondary Carer Name *

Secondary Carer Contact Number *

I understand that parents/carers are expected to provide their child with:

1. A lunch box. E.g. Snacks, sandwiches, fruit, etc. Please note that all food brought in must be Nut-Free.

2. A water bottle.

I understand parents/carers are expected to remain with and take responsibility for their children after their practice has finished.

Do you understand and agree? *