SUPA Club Permission Form - SU Australia in the ACT

Child's Name*
I give permission for my child to attend SUPA Club
First Name Last Name
Child's Date of Birth*
DD slash MM slash YYYY
School*
Other school

Please specify which school your child attends
Class*
Does your child have any disability/accommodations/dietary needs or allergies?*
Photo permission*
I give permission for photos to be taken of my child for SU to use for promotional purposes
Christian gifts*
I give permission for my child to be gifted a Bible or other Christian resources
Hidden
Care package
I give permission for my child to be sent a Care Package which may contain Christian resources
Relationship Type*
Parent / Guardian*
First Name Last Name
Address*
Street Address Suburb State Postcode Country
Preferred Phone*
Email*
Please let me know about events for my child*
Signature*

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