Page 55 | Albert Park Baptist Church

We ask you to read the following and answer the questions below to enroll your youth for Youth Group in 2025.

I authorise the person in charge when it is impracticable to communicate with me to consent to my youth receiving such first aid, medical or surgical treatment as the leader may deem necessary. I further authorise the use of an Ambulance and anaesthetic by a qualified medical practitioner if it is necessary to his/her judgement. I accept responsibility for payment of all expenses associated with such first aid, medical, ambulance or surgical treatment. I agree to indemnify and hold harmless Albert Park Baptist Church, any individual, staff or voluntary leaders and the Baptist Union of Victoria against all claims, demands, suits and liability of whatever nature and howsoever arising from the injury to the youth and the relevant activity being undertaken.

I can confirm that the details provided below are correct, and I consent to my youth participating in the Youth programs at Albert Park Baptist Church in 2025.

Photo Indemnity

What images do we collect, and how do we use them?

The following ‘material’ may be recorded and collected (the Material):

• Details including name of the person and church or activity attended by the person.
• Any photograph, image, audio recording, moving image or likeness of the person.

The Material may be used and disclosed for the following purposes (the Purposes):

• In materials prepared by or for Albert Park Baptist Church
• Streamed via the internet, within pre-recorded videos or video conferencing
• Marketing or promotion of events for Albert Park Baptist Church
• On the Albert Park Baptist Church’s website/s, print media and social media platforms.
• As otherwise permitted or required by law.

Albert Park Baptist Church will not share any personal information of a child, their parent or any other individual without their consent, except if:

• The parent/guardian/identifiable person gives permission; and/or
• It is authorised or required by law.

Name (Required)

Email Address (Required)

Youth/Youths full name/s (Required)

Date(s) of Birth (Required)

After reading the Photo Indemnity above, do you grant photo permissions?

Does your child/ren have any known allergies, asthma or other health issues? (Required)

If yes to the above please describe any relevant allergies, asthma or other health issues.

Do you grant permission for us to email you about kids or youth events and activities? (Required)

Do you give permission for the church administrator or youth leader to contact your youth directly regarding activities and other Youth Group related information? (Required)

If yes to above, please include your youth's contact details.

Are there any persons not permitted to contact or collect your youth? (Required)

If relevant, who is not authorised to contact or pickup your youth?

Please provide Emergency Contact details (name and mobile number) of someone other than yourself in case of Emergency (Required)

Please provide medicare number (Required)

Albert Park Baptist Church

115 Kerferd Road
Albert Park VIC 3206

03 9699 8407

admin@albertpark.org.au

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