Year 6 Cairns Trip Permission to Administer Panadol

JC Year 6 Cairns Trip

Parental Permission for staff to administer panadol to student

Student Activity Information Form

ACTIVITY

Year 6 Cairns Trip

PERSONS IN CHARGE

Paul Baker, Kellie Maddock, Libby Scouller & Sam McCullough

DATE OF ACTIVITY

Monday 5 September to Friday 9 September 2022

Endorsed by

~ Please submit this form by Wednesday 17 August 2022 ~

Parent permission for staff to administer panadol to student

Student's First Name *

Student's Surname *

Campus *

REQUIRED STUDENT INFORMATION:

Panadol: My child can be administered Panadol for pain relief medication if required. (Panadol will be supplied by the College)

Yes No

PLEASE NOTE: We are unable to administer the first dose of any new medication to your child (ie, medication which the child has never taken before).

All medication needs to be handed in to your child’s Campus Reception prior to departure or earlier if convenient.

Best Parent Contact Phone Number 1 *

Best Parent Contact Phone Number 2 *

Parent / Guardian Signature *

Date *

Date

Parent /Guardian Signature please type in your First Name and Surname.

Confirmation Email *

Confirmation Email - This will allow us to return the details you have submitted by reply email for your convenience.

* Required Field