Kids at the Creek September 2026 • Deep Creek Anglican Church

Join us for our kids at the creek Holiday Program! Kids at the creek is a two day program for primary school aged children. We are special agents on a mission.

Register your children to find out more. If you are bringing multiple children along - please enter FAMILY at the discount code section to apply a family discount.

Monday 21st September & Tuesday 22nd September

460 Blackburn Rd Doncaster East

Type

Price

Quantity

Both Days

Price
$20.00

Quantity
Monday Only

Price
$10.00

Quantity
Tuesday Only

Price
$10.00

Quantity

Applying discount...

Both Days 0

Kids at the Creek - Holiday Program - September 2026

Kids at the Creek is to be held at Deep Creek Anglican Church (460 Blackburn Rd, Doncaster East)

Contact Vanessa at vanessa@deepcreekanglican.com

Please note: all details on this form are securely recorded. If you have signed up for Holiday Kids Club electronically before, then you only need to record the name of your child, school grade, days to attend and update contact details (i.e. email, phone number, emergency details).

Child's first name *

Last Name *

Date of Birth *

Grade *

Gender *

Grade at School

Home Address

Home Postcode

Email Address of main adult contact for child *

Does the child identify as Aboriginal or Torres Strait Islander?

Contact Details

Parent/carer 1- Name *

Parent/carer 1 - Phone Number *

Parent/carer 2 - Name

Parent/carer 2 - Number

Adults with permission to collect - names and numbers *

Emergency Contact Details

Emergency Contact *

Emergency Contact (Relationship to Participant) *

Emergency Contact Number (Home) *

Health Details

Dietary

Allergies and Intolerances

Dietary Notes - Please specify for each child

Tip: Please add any additional dietary information that may assist our team to best care for your child. If you have booked a family ticket, please specify which child has which needs.

Medical

Does your child have any medical conditions, disabilities, common neurodivergence, or support needs that you would like us to know about so we can help them participate safely and comfortably? *

Medical notes - please specify for each child

Tip: Please add any additional medical information that may assist our team to best care for your child. If you have booked a family ticket, please specify which child has which needs.

Allergies/intolerances to medications or first aid (eg, bandaid adhesive)

Are medications required to be carried?

Will program leaders be required to administer carried medication?

I give permission for leaders to administer carried medication. I do this by listing all required details below - Name of medication, dosage, time to be administered, method notes (with water, chewable tab etc)

Authority for leader to organise medical attention, please select - straight Yes and No options cover all children on form *

Sub-heading

Privacy Details

We are committed to our obligations under the Privacy Act and the National Privacy Principles.

We respect the privacy of individuals and only collect personal information about individuals to enable us to undertake our normal activities (including conducting our events and activities, invitations to attend or participate, admissions, debtor and creditor transactions, sponsorship, promotions and volunteer administration).

Individuals have a right to access their personal information held by us. We take reasonable steps to ensure that the information we hold about individuals is secure, accurate, complete and up to date and individuals are invited to contact us to correct inaccurate information.

You are not obliged to give us your personal information. However, if you choose not to provide us with all or part of the personal information requested, we may not be able to invite or permit you to attend or participate in our events or activities, provide you with or inform you about our events, activities, services or where applicable, register you as a volunteer team member.

If you do not wish to continue receiving communications from us please contact us as per the contact details on our website.

Privacy Statement Agreement *

I agree

Photo and Video Permission *

Tip: Tip: In the course of activities, if your child appears in a photograph or video taken by the church are you happy for this to be used in church services or newsletters to show our activities. (names will not be used unless additional permission is given)

Monday Only 0

Kids at the Creek - Holiday Program - September 2026

Kids at the Creek is to be held at Deep Creek Anglican Church (460 Blackburn Rd, Doncaster East)

Contact Vanessa at vanessa@deepcreekanglican.com

Child's first name *

Last Name *

Date of Birth *

Grade *

Gender *

Grade at School

Home Address

Home Postcode

Email Address of main adult contact for child *

Does the child identify as Aboriginal or Torres Strait Islander?

Contact Details

Parent/carer 1- Name *

Parent/carer 1 - Phone Number *

Parent/carer 2 - Name

Parent/carer 2 - Number

Adults with permission to collect - names and numbers *

Emergency Contact Details

Emergency Contact *

Emergency Contact (Relationship to Participant) *

Emergency Contact Number (Home) *

Health Details

Dietary

Allergies and Intolerances

Dietary Notes - Please specify for each child

Tip: Please add any additional dietary information that may assist our team to best care for your child. If you have booked a family ticket, please specify which child has which needs.

Medical

Does your child have any medical conditions, disabilities, common neurodivergence, or support needs that you would like us to know about so we can help them participate safely and comfortably? *

Medical notes - please specify for each child

Tip: Please add any additional medical information that may assist our team to best care for your child. If you have booked a family ticket, please specify which child has which needs.

Allergies/intolerances to medications or first aid (eg, bandaid adhesive)

Are medications required to be carried?

Will program leaders be required to administer carried medication?

Authority for leader to organise medical attention, please select - straight Yes and No options cover all children on form *

Sub-heading

Privacy Details

We are committed to our obligations under the Privacy Act and the National Privacy Principles.

If you do not wish to continue receiving communications from us please contact us as per the contact details on our website.

Privacy Statement Agreement *

I agree

Photo and Video Permission *

Tuesday Only 0

Kids at the Creek - Holiday Program - September 2026

Kids at the Creek is to be held at Deep Creek Anglican Church (460 Blackburn Rd, Doncaster East)

Contact Vanessa at vanessa@deepcreekanglican.com

Child's first name *

Last Name *

Date of Birth *

Grade *

Gender *

Grade at School

Home Address

Home Postcode

Email Address of main adult contact for child *

Does the child identify as Aboriginal or Torres Strait Islander?

Contact Details

Parent/carer 1- Name *

Parent/carer 1 - Phone Number *

Parent/carer 2 - Name

Parent/carer 2 - Number

Adults with permission to collect - names and numbers *

Emergency Contact Details

Emergency Contact *

Emergency Contact (Relationship to Participant) *

Emergency Contact Number (Home) *

Health Details

Dietary

Allergies and Intolerances

Dietary Notes - Please specify for each child

Tip: Please add any additional dietary information that may assist our team to best care for your child. If you have booked a family ticket, please specify which child has which needs.

Medical

Does your child have any medical conditions, disabilities, common neurodivergence, or support needs that you would like us to know about so we can help them participate safely and comfortably? *

Medical notes - please specify for each child

Tip: Please add any additional medical information that may assist our team to best care for your child. If you have booked a family ticket, please specify which child has which needs.

Allergies/intolerances to medications or first aid (eg, bandaid adhesive)

Are medications required to be carried?

Will program leaders be required to administer carried medication?

Authority for leader to organise medical attention, please select - straight Yes and No options cover all children on form *

Sub-heading

Privacy Details

We are committed to our obligations under the Privacy Act and the National Privacy Principles.

If you do not wish to continue receiving communications from us please contact us as per the contact details on our website.

Privacy Statement Agreement *

I agree

Photo and Video Permission *