Youth Registration 2025

Please complete this form to register your Young Person for the Youth Programs

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 Karori Anglican

Cell phone

Please complete if this has changed or if you are new to Karori Anglican

Home phone

Please complete if this has changed or if you are new to Karori Anglican

Home address

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

Address line 1

Address line 2

Address line 3

Address line 4

Town/Suburb

City

Postcode/Zip

Young Persons Name *

First name

Last name

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.

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