Extra Activity Permission for Release 2026

EXTRA ACTIVITY PERMISSION FOR RELEASE 2026
Child's details
Child's name: *

First NameLast Name
Grade*

PrepYear 1Year 2Year 3Year 4Year 5Year 6
Activity Details
What kind of activity is this?*

Eatons Hill State School Supervised Activity (e.g.: instrumental music, excursion, camp, etc)Outside organisation activity (e.g.: grasshoppers soccer, etc)
EHSS Supervised Activity
What type of EHSS Supervised Activity is this?*
I authorise OSHC staff to release my child from OSHC care and supervision to participate in the following EHSS supervised activity. I understand that children in Grade 1 and above will walk by themselves to and from these activities.*

I understand and agree
Outside Organisation Supervised Activity
What type of Outside Organisation Activity is this?*
I understand that all children must be collected from and returned to the OSHC service by a representative from any activity not supervised by EHSS staff. I will need to arrange this escort with the provider of the activity. I authorise OSHC staff to release my child from OSHC care and supervision to participate in the following activity on school grounds.*

I understand and agree
This authorisation is valid from the date signed for the following period and days of the week:
How long is this permission for release valid for?*

Full termOne daySpecific duration
Day/s of attendance

MondayTuesdayWednesdayThursdayFriday
This date only:

MonthDayYear
Date
Starting Date

MonthDayYear
Date
Ending Date

MonthDayYear
Date
Which term?
1, 2, 3, or 4
Children can be released up to 10 minutes before the activity begins. My child can be released at this time: *

Hour Minutes

AM/PM Option
Will your child return to OSHC?*

My child will return to OSHCMy child will not return to OSHC after the activityMy child will be collected by a nominated person or parent
My child will return at this time:

Hour Minutes

AM/PM Option
If this is an outdoor activity, do you provide consent for your child to attend the activity if it is raining?*

YesNoNot applicable (not an outdoor activity)
I understand that my child will not be under the care of Eatons Hill OSH Club when released to participate in this activity; therefore, the Service is not responsible for my child from the time they are signed out and leave the service until they report back to the OSHC staff upon their return. I will ensure that the provider of the activity is aware of their responsibilities for my child during the time my child is in their care.*

I understand and agree to the above.
If the activity occurs in the afternoon:

I understand that my child has a responsibility to check in with an educator at the OSH Club at 3:00pm before attending an afternoon activity; they will then be signed out to return to the activity area.

I understand that if I pick my child up directly from an after-school activity, I must notify the OSH Club and sign my child out of the service for that session.

If my child fails to check in twice or I forget to notify the OSH Club that I have picked them up from the activity more than twice, this authorisation will be suspended due to safety concerns.

I understand that I must notify OSHC via email if my child stops participating or the activity is cancelled.
I understand and agree to the above
ParentGuardian Name*
ParentGuardian Signature*

Clear
Date*

DayMonthYear
Date
Should be Empty:

Child's details

Activity Details