Hi Parents,

Thank you for taking a couple minutes to complete this form and ensure we have up to date information for your child/ren. We ask that this information is resubmitted at the beginning of each year so that we can best care for your child/ren. If you wish to complete this form for siblings, click on the "Please click to add another child" button. 

If you have any questions at all, please do not hesitate to contact the youth ministry leadership team on 9630 3515. 

Thank you!


Young Person's Information

Tip: Mark as "Nil" if no medical conditions

Note: Please only provide your young person's mobile and email if you are happy for leaders to contact your young person directly on occasion with information:


Emergency Contact Information


In the event of accident or injury, I give permission for suitably trained leaders to administer first aid if required and understand that I will be notified as soon as possible after the event.

I further authorise the use of ambulance and/or anaesthetic by a qualified medical practitioner if in his/her judgment it is neccesary. I accept responsibility for payment of all expenses associated with such treatment. 


I understand that for all PBC Youth ministry events hosted offsite, a permission form will be emailed to parents. In the absence of a signed permission form, I deem that in bringing my young person to PBC Youth (or its programs and gatherings) I willingly consent to the permission form and all contained disclaimers. I understand that while all duty of care will be taken to supervise my young person, youth leaders will not be liable for any misadventure. 

On occasion, offsite activites may require travel by bus or car. Do you give permission for your young person to be driven by PBC Youth ministry leaders and volunteers from Parramatta Baptist Church? No red 'P' plate drivers will be allocated to drive youth of any age.


On occassion photos or videos may be taken by leaders to capture events. Sometimes these photos may be used in displays, on the church website, on social media profiles or printed for church use. We respect the privacy of all the young people who attend our programs so if you wish for your child to not be in any photography or have further questions around our photography policy please speak with Kaye Ryan or Ben Wilson at your soonest convenience.