Excursion Authorisation Form Kariong Out of Hours School Care - Excursion Authorisation Form We are seeking permission for your child/children to participate in the following excursion. Upload PDF * Drop a file here or click to upload Choose File Maximum file size: 2MB Please complete the following to provide your permission. Excursion Destination * Parent / Guardian Full Name * Email * Preferred Contact Number * Child Details Please use the 'add' button below if you have more than 1 child. Child Full Name * Any medical conditions OR medication requirements? * Yes No I confirm that my child has the following medical condition: * The following medication is required to be taken on excursion: * plus1 Add another Child minus1 Remove Parent / Guardian Authorisation I hereby give permission for my child/children listed above to participate in the excursion list above. I confirm that I have read the details of this excursion and understand the travel arrangements. In the event of an injury or emergency, I acknowledge that the supervising educator will attempt to contact me. 4. In an emergency, I authorise the Service to obtain all necessary medical assistance, including ambulance transport, medication and hospital admission. Parent / Guardian Signature * signature keyboard Clear Date * Parent/Guardian Request to attend and provide supervision I would like to volunteer to support the supervision of children whilst on the excursion listed above. * Yes I'd like to attend No thank you Signature signature keyboard Clear Date * Thank you. We will be in touch to discuss details. Submit If you are human, leave this field blank.
