OSHC EXTRA-CURRICULAR ACTIVITIES FORM
Child/ren's Name
In order for my child/ren to participate in extra-curricular activities at the school during these times, I give permission for my child/ren to:
leave the care of Sherwood State School OSHC
make their own way to Sherwood State School OSHC
I will collect my child when the activity finishes:
Yes
No
Start Date
Finish Date
Start Time
Finish Time
Activity
Monday
Tuesday
Wednesday
Thursday
Friday
I have reminded my child to ensure that:
they do not leave the service until they have informed the Supervisor and been signed out. When they return back to the service, they inform the Supervisor and sign back in.
I understand whilst away from the service participating in this activity, my child will not be under the care of Sherwood State School OSHC.
I understand that responsibility for my child will once again be that of the service once they have returned and been signed in again.
I understand that I will still be charged for the time that my child is away from the service participating in any extra-curricular activity.
I undertake to ensure that I notify the service if and when this arrangement changes.
Parent/Guardian's Name
Signature
Date
/
Month
/
Day
Year
Date
Submit
Should be Empty: