Before and After School Activity Permission Form
Double Bay Out of School Hours Inc
Please fill out an individual form for each activity as required.
Child's name
*
First Name
Last Name
Child's name
First Name
Last Name
Click to add child
Activity attending
*
Time
*
Hour Minutes
AM
PM
AM/PM Option
Until
until
Hour Minutes
AM
PM
AM/PM Option
Total 0.0
If other, please specify:
Term
*
Frequency
*
Comments
Parent/Guardian Permissions
*
I accept that DBOOSH educators are happy to remind my child(ren) to attend the before or after school activity but will not be held responsible if my child does not go when reminded.
I accept that my child(ren) attending and travelling to and from activities during a DBOOSH session will not be under the supervision of DBOOSH Inc staff.
I understand that DBOOSH staff are not responsible for my child whilst they are absent from the Dboosh centre.
I accept that if I collect my child directly from an after school activity when they would usually return to the DBOOSH, I need to to notify the centre that they will not be returning.
I accept that it is the responsibility of the person supervising the before or after school activity to bring the child/ren to DBOOSH.
Signature
*
Parent/Guardian
*
First Name
Last Name
Date
-
Day
-
Month
Year
Date
Submit
Should be Empty: