Lifeway Youth - 2025 Registration Form • Lifeway Christian Church

Lifeway Youth - 2025 Registration Form

Youth Details

First Name

Date of Birth

Mobile Number

School Name

Last Name

Gender

Email Address

School Grade

Parent/Guardian Details

Home Address

Home City

Home State

Home Postcode

Mother/Guardian Contact Details

Mother/Guardian Full Name

Mother/Guardian Mobile Number *

Father/Guardian Contact Details

Father/Guardian Full Name

Father/Guardian Mobile Number

Preferred Contact

About Your Youth

Please tell us anything you feel we should know about your child; including ... likes/dislikes, learning difficulties, behavioural challenges, pertinent family issues, medical issues, or anything else that will best help us serve your children.

Medical Information

Asthma (please provide management plan)

Anaphylaxis (please provide management plan)

Food Allergy (please specify)

Other Allergy (please specify)

Medical Condition (please specify)

Medical Details / Management Plans / Family Information

If your youth has an official Medical Condition Action Plan. Please email a copy to the Youth Ministry Team.

office@lifeway.org.au

Important to Note

Privacy Statement

In accordance with the Privacy Policy of The Baptist Union of Victoria any information provided will be used only for the ministry of this church and activities related to this church. The information will not be released to any organisation outside of this church.

Photograph Disclaimer

At times we take photos and/or videos of the youth, which may be used for Church promotional purposes via our website or social media. If you do not consent to this, please note this below.

Your acknowledgement below confirms your consent for your youth's photo to be used.

Photo Consent

To be displayed on church premises

To be displayed online (website/social media)

Electronic Signature

I (Enter Name of Parent/Guardian)

completed the above form, with the understanding that our youth will be registered as a part of the current year's Lifeway Christian Church's Youth Ministry.