WOSHC Summer VC - Seniors Excursion 21.01.2026

Wishart Outside School Hours Care

Summer Excursion Permission Form - SENIORS (Years 3 - 6 in 2026)

Dear Parents/Carers,

The excursion permission form MUST be completed by the parent/carer AT THE TIME OF BOOKING. A completed permission form will confirm the excursion booking for your child/ren.

An excursion permission form provides your authorisation that your child/ren are able to be taken on an excursion away from the service premises. A risk assessment of this excursion has been prepared and is available at the service should you wish to view it.

Date:	21 January 2026
Destination:	Area 51
Address:	51 Kingston Road, Underwood
Service Contact Number:	0499 023 889
Due at Service prior to departure:	At service by 7:30am
Est. Departure Time:	8:15am
Est. Return Time:	11:45pm
Activity:	Indoor Playground
Mode of Transportation:	Coach / Bus
Proposed Number of Children:	50
Proposed Number of Staff	8
Educator to Children Ratio:	1 : 8
Children to bring:	Sun safe hat, water bottle, morning tea, lunch and snacks
Note:	NO MONEY IS TO BE BROUGHT ON EXCURSION

Child's Details
Child 1:*
Child 1 Class:*
Do you need to add details for Child 2?*

YesNo
Child 2:*
Child 2 Class:*
Do you need to add details for Child 3?*

YesNo
Child 3:*
Child 3 Class:*
Parent/Carer Authorisation
By signing this form, I agree that I have read all the information contained in this form relating to this activity. I give permission for my child/ren listed above to attend the noted excursion.
Parent/Carer Name:*

First NameLast Name
Parent/Carer Contact Number:*
Please enter a valid phone number.
Parent/Carer Email:*
example@example.com
Parent/Carer Signature:*

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Wishart Outside School Hours Care

Child's Details

Parent/Carer Authorisation