Little Lambs Play Time Registration (Child) • St Luke's Liverpool

Thank you for registering your child into Little Lambs Play Time!
Please fill in the form below for your child, so that we will have all the details we need to take good care of them.

Child Details

First Name *

Preferred Name

Middle Name

Last Name *

Sex *

Date of Birth *

Country of Birth *

Allergies / Medical Conditions

Phone Number

Language/s Spoken at Home

Media Permissions *

Yes

Tip: I give permission for photos/videos of myself and my child to be taken at playgroup, for the use of displays, presentations during church services, the St Luke's Church website, and Little Lambs Facebook Group (only available to Members)

Is your child's immunisation up-to-date? *

Yes

Special Needs *

Yes

Prohibited Persons

Tip: Is there anyone who is legally restricted from seeing your child?

Home Address

Home Address *

Home Address Line 2

Suburb *

State *

Postcode *

Country *

Comments

Tip: Do you have any questions, concerns or additional comments for us?

Click 'Register Another Child' to register another child.
Click 'Submit' to go onto the next page to provide us with your parent/guardian details.