Kick ons Term 1 2025 - Permission • St Matts West Pennant Hills

St Matts Youth Kick Ons | Term 4 2024

St Matts Senior Youth (Year 9-12) are invited to join together for some dessert following youth in term 4.

We will be transporting youth in leaders cars (Full Licenced Drivers) to the specified house (details below) after youth group, and your son/daughter will need to be picked up from Kick-ons at 10:30pm.

In order for your high schooler to attend, please complete the following permission form.

Youth Details

First Name *

Last Name *

Youth's Mobile Number

Tip: In the case of emergency

Emergency Contact Details

Name #1 *

Relationship to Child *

Phone Number #1 *

EC Number #2

EC Name #2

#2 Relationship to Child

Permission

Choose Event

Kick-ons @ Anna's (7a Weerona Ave, Pennant Hills)
14 Mar, 2025 9:30 PM
Cancel Accept Decline
Kick-ons @ John's (16 Radley Pl, Cherrybrook)
4 Apr, 2025 9:30 PM
Cancel Accept Decline

PARENTS PLEASE READ, NAME & DATE THE FOLLOWING:

My name below indicates my willingness to permit my child:
> to participate fully in this specific event of Kick-ons of St Matthews Anglican Church, West Pennant Hills as specified above.
> to be transported in Youth Leader's cars to Kickons for the dates I have selected above and I understand that I will pick my child up at 10:30pm.
> in the case of a medical emergency, I hereby give permission to the doctor chosen by the church authorities or other persons supervising or administering the childrens activity, to secure proper treatment for and/or order hospitalisation, injection, anaesthetic, or surgery for my child as named. I understand that every effort will be made to contact me prior to instituting such procedures.

PARENT OR GUARDIANS NAME BELOW CERTIFIES ACCEPTANCE OF ALL THESE CONDITIONS

Parent / Guardians Full Name *

Date of Consent *

Tip: Put today's date to confirm consent to attend