Rest·Awe Youth Membership Form 2025 • Richmond Anglican Church

This form contains contact information and medical details for your child. It will take about 10 minutes to complete. Please complete one form for each child.

The Rest·Awe Youth Leadership Team will treat all the information contained confidentially. This information may be shared with a third party when it concerns medical health or care of the individuals listed. Please don't hesitate to contact us with any queries in relation to this information.

Please contact our staff via rest.awe.youth@gmail.com if there are any changes to this information.

Youth Details

Email Address

Tip: This is the email address for the youth. Please leave blank if they don't have one or you don't wish to provide this information.

Mobile Number

Tip: This is the Mobile for the youth. Please leave blank if they don't have one or you don't wish to provide this information.

Does your child have any mental health conditions, disabilities, learning difficulties or behavioural challenges? Please provide details to help us care for your child.

Rest·Awe Community Afternoons

On Friday afternoons Rest·Awe Youth runs Community Afternoons.

This is an opportunity for youth to come before the program commences for additional time to hang out with friends, play games and chat with leaders.

Community Afternoons include:

Supervision from 4:00 pm.
Dinner for $5 at 6 pm.

Would you like to be notified by text message if your child is not on site by 4:45 pm? (This is only valid for the present calendar year and will be changed to "No" if they do not attend for two consecutive months.)

Parent/Guardian Details

Emergency Contact

Please provide the details of an emergency contact for the youth in case the above parent or guardian cannot be reached.

Permissions

Do you authorise your child to make their own way to and from Rest·Awe Events? *

Yes

Tip: Answering 'NO' to this permission means you will be required to pick up your child in person from the gate each week of Rest·Awe Youth.

I allow my child to be transported in vehicles driven by Youth Leaders, Staff, Volunteers or Parents who have a GREEN PROVISIONAL LICENSE. *

Yes

I give permission for pictures and videos of my child participating in youth activities to be shared among other youth members, and to be used in promotional material (including social media). *

Yes

No, please describe circumstances below

I authorise the youth leaders, in the event of an emergency, to obtain at my expense any medical, ambulance, rescue or other services that are considered necessary for my child. *

Yes

I grant permission for my child to participate in Richmond Anglican's Youth Group, Rest·Awe Youth, and all related activities. This may include transportation as detailed above. *

By completing this form I declare myself to be the parent and/or guardian of the aforementioned youth and declare the details in this form to be true and correct. Signed: *