I am prepared to serve as a parent member of Mount Beauty Primary School Council.
I hereby declare that:
- I am not and have never been insolvent under administration.
- I am of sound mind.
- I have not been found guilt of an offence that is, or would in Victoria be, an indictable offence.
- I am not a registrable offender within the meaning of the Sex Offenders Act 2004.
- I am not suffering from any medical condition that would affect my ability to perform the role of member of school council.