Oasis Children's Programme Preschool Child Registration

Preschool Children Online Enrolment Form
学前儿童（2-5岁）线上注册表

For Children aged 2-5 years
2-5岁儿童（家长）填写

* required 项为必填项

Child's Name *

Child's First Name (孩子的名字) and Last Name (孩子的姓)

First name

Last name

Ethnicity 族群

Gender 性别

仅在一个圈中打勾

Female 女

Male 男

Date of Birth 出生日期 *

我们可以为他们寄生日卡

Medical / dietary / special needs 医疗需求或特殊需求 *

Yes 是

No 否

Please detail medical concern here 请将具体的医疗需求或特殊需求列在下面

Does this child attend preschool/kindergarten? 您的孩子上幼儿园了吗？

Name of preschool/kindergarten your child attends 学前儿童父母/照看人姓名 *

Is your child toilet trained? 您的孩子是否会自己上厕所？ *

Yes, we/I would like you to come and get me/us to toilet my own child when possible 是的，我（们）希望您在孩子需要上厕所的时候找我（们

Yes, we/I are happy for my child to be escorted to the door of the child-only bathroom located off the Warren Hall to then toilet themselves 是的，我（们）很乐意有专人陪着孩子去Warren Hall的儿童专用厕所门口

No (Please note: your child will be returned to you for nappy change when necessary) 不用（请注意，您的孩子会在需要换尿不湿的时候被送到您身边）

Is there anything you would like us to know about this child? 关于您的孩子，还有什么事情需要我们了解？

Your name 您的姓名 *

Your relationship to the child 您和孩子的关系 *

Are you the parent/main caregiver for this child 请问您是孩子的父母/主要照看人吗 ? *

Yes 是

No 否

Cell phone number of Parent/ Caregiver 1 父（母）/第一照看人手机号码 *

Email address for Parent/ caregiver 1 父（母）/第一照看人电子邮箱 *

I am aware that Oasis correspondence will be sent to this email address 我了解关于Oasis的邮件会发到此邮箱

Home phone number 家庭电话

Home street number and name 家庭住址（街道及门牌号） *

Suburb 所属区域

Postcode 邮政编码

City 城市 *

Child lives at above address 孩子是否在上述地址居住 *

Yes 是

No 否

Name of parent/caregiver2 父（母）/第二照看人姓名

Relationship of parent/caregiver 2 to child 第二照看人和孩子的关系

Does parent/caregiver 2 also live at the above address? 父（母）/第二照看人是否在上述地址居住？

Yes 是

No 否

Cell phone number of parent/ caregiver 2 第二照看人手机号码

Email address: parent/ caregiver 2 父（母）/第二照看人电子邮箱

Name of emergency contact 紧急联系人姓名 *

Not the same person(s) listed above 与上述父（母）/照看人不同

Relationship of emergency contact to child 紧急联系人与孩子的关系

What name is this person known by, to the child 孩子如何称呼紧急联系人？

Phone number for emergency contact 紧急联系人联系方式 *

Parent/ caregiver agreement 父母/照看人同意

I agree to photos and videos of my child/ren take at the program being used by St. Christopher’s in a way that does not identity the child

我同意Oasis项目为我的孩子拍照/拍摄的视频，照片和视频在不指名的情况下被用于St. Christopher教会（活动）

I am responsible for notifying the program leaders of any changes in circumstance or contact/ medical details

有任何情况、联系人或医疗需求改变的时候，我有义务告知Oasis项目负责人