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Extra-Curricular Activity Permission Form
Required if your child will need to leave their booked session or return from an activity i.e. Dance, Band, Netball/Soccer/League Tag training.
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* Indicates required question
Child Name
*
Your answer
Activity
*
Your answer
Authorised Person and contact number
*
Your answer
Date from
*
Your answer
Occurrence of activity:
*
Weekly during- Term 1
Term 2
Term 3
Term 4
Other:
Required
Session
*
Choose
Before School Care
After School Care
Day of the week:
*
Monday
Tuesday
Wednesday
Thursday
Friday
Required
Absent from:
Your answer
Returning at:
Your answer
Parent/Guardian Permission:
*
I accept that staff at Mt Kuring-gai OOSH are happy to remind my child to attend the extra-curricular activity but will not be held responsible if my child chooses not to attend.
I accept that my child attending and travelling to and from activities during OOSH will not be under the supervision of the OOSH staff.
I understand that the OOSH staff are not responsible for my child once signed out by person taking the activity.
Required
Name Parent/ Guardian & Signature :
*
Your answer
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