Ironside OSHC Activities Permission Form

Activities Permission Form

Authorisation for child to attend a non Ironside OSHC activity.
Child Name:

First NameLast Name
Parent Name:

First NameLast Name
Term/Period:
I {parentName} give permission for an educator from Ironeside OSHC to accompany my child {childName} to their activities at the times specified.
I would like my child to attend:
Swimming Permissions:
Day
Start Time

:HourMinutesAM/PM Option
End Time

:HourMinutesAM/PM Option
Notes:
I would like my child to attend:
Day
Start Time

:HourMinutesAM/PM Option
End Time

:HourMinutesAM/PM Option
Notes:
I would like my child to attend:
Day
Start Time

:HourMinutesAM/PM Option
End Time

:HourMinutesAM/PM Option
I would like my child to attend:
Day
Start Time

:HourMinutesAM/PM Option
End Time

:HourMinutesAM/PM Option
I would like my child to attend:
Day
Start Time

:HourMinutesAM/PM Option
End Time

:HourMinutesAM/PM Option
I would like my child to attend:
Day
Start Time

:HourMinutesAM/PM Option
End Time

:HourMinutesAM/PM Option
I would like my child to attend:
Day
Start Time

:HourMinutesAM/PM Option
End Time

:HourMinutesAM/PM Option
I would like my child to attend:
Day
Start Time

:HourMinutesAM/PM Option
End Time

:HourMinutesAM/PM Option
I would like my child to attend:
Choir acknowledgements:
Day
Start Time

:HourMinutesAM/PM Option
End Time

:HourMinutesAM/PM Option
I would like my child to attend:
Day
Start Time

:HourMinutesAM/PM Option
End Time

:HourMinutesAM/PM Option
I would like my child to attend:
Type in activity that is not listed. Please note we do not collect from or deliver to activities off the Ironside State School site.
Day
Start Time

:HourMinutesAM/PM Option
End Time

:HourMinutesAM/PM Option
General Permissions:
Signature
Date

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Should be Empty: