External Extra Curricular Form

External Extra Curricular Consent Form

Please complete this form to give permission for your child to attend external extra curricular activities during their booked before or after school care sessions at Buderim OSHC
Child Name*

First NameLast Name
Date of Request*

DayMonthYear
Date
Activity*
Dates of Activity*
Start and Finish Time*

:HourMinutesAM/PM Option
Until
until :HourMinutesAM/PM Option
Day*
Escorting Requirement (Arrival)*
Escorting Requirement (Departure)*
Location*
Additional Information
Authorisation

* I understand that during the outlined time, my child will not be under the care of a Buderim OSHC educator, therefore the service is not responsible for my child for the duration of the activity.

* I understand that it is my responsibility to notify Buderim OSHC of any changes to the above information.

* I understand if I select "Child will not return to OSHC after activity" that an educator will sign my child out of the service on my behalf.
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Signature*

Clear
Date*

DayMonthYear
Date
Should be Empty:

External Extra Curricular Consent Form