Reboot Registration 2026 • St Anne's Anglican Church Ryde

Thanks for your interest in Reboot Youth at St Anne's Anglican Church Ryde. Please fill out this form to register your child for this group. It is essential this form is filled out.

Please complete this form for each of your children. If applicable, click 'add another child' button at the bottom of the form.

Child's Information

First Name

Date of Birth

Last Name

Gender

Home Address

Home Postcode

Suburb

Home State

School Name

Email Address

School Grade

Mobile Number

Medical Information

Does your child have any allergies?

No known allergies

Yes (has allergies)

Allergy type

Response plan for anaphylaxis

Tip: Does the child carry an epi-pen?

Is there anything that would be helpful for us to know in caring for your child? (special diets, chronic illness, impairments, behavioural issues etc

Yes

Please provide details:

Parent/Guardian Information #1

This is the main contact for all notices and communication regarding Reboot.

Parent/Guardian #1 Relationship to Child

Parent/Guardian #1 Full Name

Parent/Guardian #1 Phone Number

Parent/Guardian #1 Home Address

Parent/Guardian #1 Email Address

Parent/Guardian Information #2

This is the secondary contact and should be someone who is easily contactable incase of emergency.

Parent/Guardian #2 Relationship to Child

Parent/Guardian #2 Full Name

Parent/Guardian #2 Phone Number

Parent/Guardian #2 Home Address

Parent/Guardian #2 Email Address

Permissions

Acceptance of Conditions

St Anne's Ryde Anglican Church respects your privacy. When you provide us with personal information by participating in church events/activities, visiting a website or otherwise, you agree to personal information about you and your children (under 18 years old) being handled as set out in the policy (available on our website). The personal information in this form will be made available to the Reboot Youth leaders, and medical and emergency services if considered necessary.

By accepting these conditions and submitting this form I permit my child to participate fully in activities associated with Reboot Youth at St Anne's Ryde Anglican Church.
I understand that any youth attending Reboot must dropped off and picked up weekly by a parent/authorised adult. I agree to notify the Reboot leaders if the youth will be making their own way to and/or from Reboot.
I consent to photographs of my child being taken and used for promotional purposes.
I confirm that the information given in this form is correct, and will advise of any changes to this information to the St Annes office.

Yes, I accept these terms and conditions *

Signature *

Tip: Please write full name

Date signed *