Food and Travel Consent Form

Food and Travel Consent Form

ABN: 55 637 079 620
Student/ Participant Name*

First NameLast Name
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Email*
example@example.com
Media Consent
Students’/participants' images and/or their work are often published to recognise excellence or effort and may appear in newspapers, on the internet, in newsletters or on film/video. Their names may also be included but no contact details are provided. Work/images captured by Kool Kids Tutoring will be kept for no longer than is necessary for the purposes outlined above and will be stored and disposed of securely.
Please check one of the following:*

Yes, I give consent to my child to have his/her image and/or work published as described above.No, I do not give consent.
Food Consent

During lessons and activities, students/participants may be given light snacks/lunches (e.g. sandwich and a popper).
Please check one of the following:*

Yes, I give consent to Kool Kids Tutoring to provide light snacks/lunches as described above during activities/lessons provided that they are not food items that my child is allergic to or has a dietary restriction against please specify any allergies/dietary restrictions below).No, I do not give consent.
Allergies:
Dietary Restrictions:
Travel Consent

Kool Kids Tutoring can pick your child up after school, take them to the lesson/activity venue and then drop them off to a specified location.
Please check one of the following:*

Yes, I give consent to Kool Kids Tutoring to pick up/drop off my child from venues specified by me.No, I do not give consent.
Parent/Guardian Signature*

Clear
Date

DayMonthYear
Date
Should be Empty: