Bulimba OSHC Additional Activity Permission Form

Parent/ Guardian Full Name*

First NameLast Name

E-mail for confirmation*

Phone Number*

Relationship to child*

Name of child 1 attending activity*

First NameLast Name

Name of child 2 attending activity

First NameLast Name

Activity Name eg Swimming, tennis*

Location on school grounds*

Name of Organisation and / or name of adult in charge of activity session:*

Contact phone number of Adult in charge

IT IS ESSENTIAL THAT CHILDREN SIGN INTO OSHC FIRST AT 3PM BEFORE BEING TRANSITIONED TO THE ACTIVITY.

I give permission for my child/children to attend the above activity on school premises on the following days:

Day*

Attendance*

Session Start Time*

Session End Time*

Will they return to OSHC at the end of their session?*

YesNo

I will regularly remind my child that they must be signed in to OSHC before they attend their activity.

I understand that my child will be transitioned to and from their activity by an OSHC educator.

I understand that upon returning to the centre my child must immediately report to a Co-ordinator to be signed back into the Service.

I understand that the duty of care transfers to the external provider when my child is signed out and no responsibility for my child will be taken by OSHC whilst the child is attending an activity or until my child is signed back into the Service.

If the child is not returning to OSHC i.e. parent is collecting child directly from the activity, the parent or guardian must ensure they still sign the child out at OSHC before closing time (6pm).

Parent/guardian can arrange for another adult (must be listed on the child’s enrolment form as having “permission to collect”) to sign the roll when collecting the child from OSHC to take them to the activity. If the child is to return, the adult is required to sign the roll again to show that the child has returned to OSHC.

I consent to the above terms and conditions*

Yes

Signature*

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