Aura Youth Enduring Permission • Presbyterian Church of Queensland

Aura Youth is for Youth in grades 7-12, and is held at the Baringa Primary School, each Friday night during School Terms from 6:30pm till 8:30pm. The evening includes games, a bible talk, discussion time, and supper. Aura Youth is a Ministry of Aura Church, and is coordinated by a team of leaders who meet and abide by current child protection standards.

Aura Youth Registration

Youth Details

First Name *

Last Name *

Gender *

Date of Birth *

Home Address *

Home Suburb *

Home Post Code *

School Grade *

School *

If you would like your child to receive Email and/or SMS notifications about Aura Youth please add their details below

Youth Email address

Youth Mobile Number

Parent/Guardian Information

First Name *

Tip: can be one or both parents/guardians

Surname *

Email Address *

Phone Number *

Address if different from above

Medical and Safety Information

Does You child have Medical or Care Needs that we should know about?

Does Your Child have any Dietary Requirements or Allergies?

Are there any persons prohibited from seeing your child?

Anything else you would like us to know?

Child Emergency Contact & Relationship *

Child Emergency Phone Number *

Authorisations and Expectations

Please read the following carefully:

By completing this form, I hereby give permission for my child/ren to attend all scheduled activities this year, unless we explicitly advise the leadership team otherwise.

In doing so I undertake to provide the leaders with any information relevant to the wellbeing of my child/ren prior to them attending any and all scheduled activities.

I authorise our child/ren to travel in a car driven by an approved leader or an approved parent, unless we explicitly advise the leadership team otherwise. (Your children will not be in a vehicle driven by a P1 or learner licence holder.)

I understand that every effort will be made to provide a safe environment, however in signing this form I authorise the leaders, in the event of an emergency, to obtain at my expense any medical, ambulance, rescue or other services considered necessary.

I also acknowledge that being part of a community involves mutual care and consideration, and therefore agree that unacceptable behaviour may result in my child/ren being sent home &/or being temporarily or permanently prohibited from attending the activities of this group.

Please select an option *

Privacy Decalaration

Please read the following carefully:

I give permission for appropriate photos/videos of my child/ren taken during the program to be displayed in a public place (e.g. church publication, presentation, internet site, approved social media platform) unless I explicitly advise otherwise.

I give permission for the personal details given herein to be provided to appropriate leaders and/or relevant medical/emergency services as deemed necessary.

I understand the details given herein will be used by leaders to contact myself and/or my child/ren and that the details will not be given to any third party, except as provided above.

Please select an option *

Traveling to Aura Youth without a Parent/guardian

Do you give permission for your child (must be over 12 yrs old) to walk, ride, or travel to/from Aura Youth without a Parent or Guardian? *

Tip: Youth are responsible for their own bikes, scooters, etc.

Date form completed *