Family Movie Night - David • Clayton Church

Personal Details

First Name *

Last Name *

Email Address *

Mobile Number *

Number of people attending:

Adults: *

Children: *

Dietary requirements *

Emergency contact name + number *

How did you hear about this event? *

Please specify *

How are you connected with Clayton Church of Christ?

Consents

I agree to receive information about this event and related updates

I understand photos and videos may be taken during the event and used for promotional purposes

I confirm I can attend and will notify organisers if I can no longer come

I consent to receive appropriate first aid and medical attention if required during the event.

I indemnify and hold harmless Church of Christ Fellowship Clayton, and its staff and volunteers, from any liability arising from my participation in this event.

DISCLAIMER: By typing your name below, you are signing this application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this application.

Signature: *

Date: *

Privacy Statement: Church of Christ Fellowship Clayton respects your personal information and upholds your rights to privacy protection in accordance with the Church's Privacy Policy (available at www.claytonchurch.org.au) and the Australian Privacy Principles contained in the Privacy Act 1988.