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Extra Curricular 2024 Permission Form
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18
Questions
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1
Childs Name
*
This field is required.
First Name
Last Name
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2
Activity Attending
*
This field is required.
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3
Name of Parent/Guardian completing this form
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4
Location of Activity
*
This field is required.
Hall
Backfield
Library
Other
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5
Date commencing:
*
This field is required.
-
Date
Day
Month
Year
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6
Details of educational facility/provider- name, address and phone (if known)
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7
Method of travel
Walking (Activity is onsite) Metella Road Public School 117-131 Metella Road Toongabbie 2146
Chartered bus, car or coach (with seatbelts) Please email the service further details of the scheduled travel arrangements.
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8
Weekly during term
*
This field is required.
Term 1
Term 2
Term 3
Term 4
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9
Before School Care
Monday
Tuesday
Wednesday
Thursday
Friday
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10
After School Care
Monday
Tuesday
Wednesday
Thursday
Friday
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11
I accept that Metella Road OOSH educators will remind my child/ren to attend the extra curricular activity but will not be held responsible if my child does not go when reminded.
*
This field is required.
I Agree
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12
My child will be absent from:
*
This field is required.
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Minutes
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13
My child will be returning at:
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Minutes
AM
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AM
PM
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14
Will your child be returning to the centre after their extracurricular activity?
*
This field is required.
Please note: If you select No, your child will be signed out at the commencement of their activity and a staff member WILL NOT pick them up at the end of their activity. If you select YES, your child will be collected/ must return at the conclusion of their activity.
YES
NO
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15
I accept that my child/ren attendning and travelling to and from activities during an OOSH session will not be under the supervision of the OOSH staff
*
This field is required.
I Agree
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16
I understand that OOSH staff are not responsible for my child whilst they are absent from the centre
*
This field is required.
I Agree
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17
I understand that OOSH staff are not responsible and will not handle any payments on behalf of the family to extra curricular providers
*
This field is required.
I Agree
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18
Signature
Clear
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