Playcircle • Lidcombe Anglican Church

We look forward to meeting you soon! For us to be able to get in touch with you, please fill in the following details.

Parent Details

First Name *

Last Name *

Phone Number *

Email Address *

Do you consent for your child's photo to be taken? *

Do you consent for your child's photo to be used in church media and Playcircle promotion? *

Child Details 1

First Name *

Last Name *

Age *

Dietary Requirements/ Allergies *

Tip: N/A if none

Another Child *

Child Details 2

First Name *

Last Name *

Age *

Dietary Requirements/ Allergies *

Tip: N/A if none

Another Child *

Child Details 3

First Name *

Last Name *

Age *

Dietary Requirements/ Allergies *