GodZone Registration 2025

Please complete this form to register your Child for GodZone, our Sunday programme for kids aged pre-school to year 8.

If you are a returning family, most fields you do not need to complete - unless you have changed details. Just complete the astrix ones.
If you are new to Karori Anglican, please complete all fields.

By completing this form you are indicating that in the event of an emergency Karori Anglican has your permission for the leader to act in the safety and interests of your child/children.

Please note the church collects and uses your child's information in accordance with the privacy act and will not provide this information to any other people or orgnaisations without your permission.

Email address

Please enter your family email address if this has changed or if you are new to GodZone

Caregivers Name *

Cell phone

Please complete if this has changed or if you are new to GodZone

Home phone

Please complete if this has changed or if you are new to GodZone

Home address

Please only complete if you are new to GodZone or if you have changed address

Address line 1

Address line 2

Address line 3

Address line 4

Town/Suburb

City

Postcode/Zip

Childs Name *

First name

Last name

Date of Birth *

School Year *

Allergies/Medical conditions - Please make us aware of anything that will help us to care for your child

Emergency Contact Phone

Please enter an alternative number to the primary caregiver. Please complete if this has changed or if you are new to GodZone

Emergency Contact Name

Please let us know who (other than the primary cargiver) we should contact in an emergency
Please complete if this has changed or if you are new to GodZone

I understand that images/videos of my child may be taken, and from time to time they may be used for church publications and publicity.

Consent to use images *

By agreeing to this you give Karori Anglican permission to use a photo of your child on public documents

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