OSHC After School Activity Dropoff/Pickup Form

St Hilda's School Outside School Hours

After School Activity Drop Off / Pick Up

Name of Child*

Class*

Monday Activity

Start Time

End Time

Drop Off to Activity

Back to OSHC

Parent Initials

Tuesday Activity

Start Time

End Time

Drop Off to Activity

Back To OSHC

Parent Initials

Wednesday Activity

Start Time

End Time

Drop Off to Activity

Back to OSHC

Parent Initials

Thursday Activity

Start Time

End Time

Drop Off to Activity

Back to OSHC

Parent Initials

Friday Activity

Start Time

End Time

Drop Off to Activity

Back to OSHC

Parent Initials

I hereby give permission for St Hilda's OSHC Educators to sign out my daughter from OSHC and accompany and hand her over to the coach responsible for the above activity/activities. (Risk Assessment available on OSHC application form).

I understand that following this handover, the coach/coaches will be responsible for the care of my daughter during the activity and I acknowledge my responsibility for communicating in writing to OSHC@sthildas.gld.edu.au any changes to these arrangements.

Parents Name*

Date*

Date

Parents Signature*