Student Details and Permissions Form 2020
Please include as much information about your child for next year as possible so the school can provide the best possible care. There are 8 sections and we ask you to submit a SEPARATE GOOGLE FORM FOR EACH OF YOUR CHILDREN ATTENDING CLAREMONT COLLEGE IN 2020. The information you provide, replaces all information from 2019. We ask you to complete the forms by 29 November 2020 so we can be ready to start the year. Thank you
Student First Name *
Your answer
Student Surname *
Your answer
Year Level *
Parent/Carer First Name and Surname (of the person completing this form) *
Your answer
Parent/Carer First Name and Surname of a 2nd primary carer *
Your answer
SECTION 1 Parent Portal
Claremont uses the information you place on the Parent Portal for the most up to date contact and medical details (including current Medicare numbers) for your family. Check one of the boxes below. If you have any issues with login or navigating your Parent Portal, contact Mr Andrew Nield via the School Office on (02) 9399 3217 or office@claremont.nsw.edu.au
*
Required
SECTION 2 Emergency Contact Details 2020
Claremont College requires contact details for 3 emergency people (APART from primary carers) authorised by you
to collect your child in the case of an emergency, and if neither parent can be contacted.
I have already provided emergency contact details on my other child's form *
1. Emergency Contact Name
Your answer
Relationship to Child
Contact Phone Number
Your answer
2. Emergency Contact Name
Your answer
Relationship to Child
Contact Phone Number
Your answer
3. Emergency Contact Name
Your answer
Relationship to Child
Contact Phone Number
Your answer
SECTION 3 Authority to Collect 2020
Parents often car pool to collect children after school. If anyone, APART FROM parents or emergency contacts will be collecting your child, their names must be listed with us. Only immediate parents/carers, 'Emergency Contacts' or those with 'Authority to Collect' will be permitted to collect your child. If you wish to add names to the list during the year, send the details in an email to the Office.
I have already provided Authority to Collect details on my other child's form *
Name of collection person 1
Your answer
Name of collection person 2
Your answer
Name of collection person 3
Your answer
Name of collection person 4
Your answer
Name of collection person 5
Your answer
Name of collection person 6
Your answer
SECTION 4 Student Health
This section must be completed afresh EVERY year
1. Does your child suffer from any medical condition, including allergies and asthma? Please describe in detail, and include a list of any regular medications, sending further information if necessary. We require current copies of all Anaphylaxis, Asthma and Allergy plans. *
1(a) Name the medical condition or allergy
Your answer
1(b) Would you describe this condition as
1(c) Describe likely symptoms / reactions
Your answer
1(d) Outline a treatment plan.
Your answer
1 (e) List of regular medications
Your answer
1(f) A current copy of the Medical Treatment Plan (eg Anaphylaxis, Allergy or Asthma) from my child's doctor has been forwarded to the school office
2. My child will require an individual medical box on site and to be taken to Sport and excursions *
2 (a) What will be contained in the Medical Box?
Your answer
2 (b) If daily medication will be required at School, indicate dosage and time to be given below and speak directly to Ms Sallie Neville, our School Nurse
Your answer
3. In the case of a medical emergency
Should the school be unable to contact either parent in the case of a medical emergency, an Ambulance will be called or your child will be driven to the Sydney Children's Hospital.
Should the school be unable to contact either parent, do you give permission for your child to be given an appropriate dose of Panadol if required? *
SECTION 5 Permission to Walk or catch a bus after school without adult supervision. Children have their names marked off on a 'walkers' list and are only supervised crossing Judge St. Usually applies to older children only.
I give permission for my child to walk after School without adult supervision *
Required
SECTION 6 Permission to participate in off-site regular school activities
There are regular activities during the school year when students attend off-site school activities which are part of the normal school program, such as weekly Wednesday sport. There are also occasions when class activities move outside the classroom to areas in close proximity to the school. For example, we have taken children to the memorial in High Cross Park on Remembrance Day, outside the school grounds to complete mathematical activities and the Primary children are sometimes taken to Coogee Beach for PE lessons or lunch times. In addition, children are taken off-site when practising emergency evacuation procedures. Whilst we may not seek permission from parents for such activities, they will only be undertaken with the permission of the Principal or his representative.

Further specific details will be provided in notes and the newsletter regarding the events and programs listed. Your separate permission will be mandatory for class excursions, camps and carnivals. Parents are asked to contact the school should any further information be required concerning the programs listed below.

Regular activities have been summarised below for your convenience.

Infants Sport - Years K - 2
Wednesday mornings
Grant Reserve, Coogee
Government bus

Primary Sport - Years 3-6
Wednesday mornings
UNSW Gym/Pool/Local sporting facilities
Government/Private bus, or walking

Primary PE Lessons - Years 3-6
Various 40 minute lessons
Grant Reserve, Coogee Beach, Coogee Tennis Courts
School bus

Before School Morning Sport Skills and Training - Various year groups
Weekly throughout the term
Grant Reserve, Eastern Suburbs Tennis Centre
Claremont bus (returning students to school)

Swimming
Wednesday mornings - Years 2, 3, 4 (Term 1)
2 week program - K & Yr1 (Term 4)
UNSW or Coogee Diggers Fitness Centre
Government/Claremont bus

Offsite Primary lunches
Years 3-6; 1:00 - 2:00pm
Each Primary year group is taken off-site about once/week to relieve pressure on the playground.
Grant Reserve
Claremont Bus

Nursing Home Visit - Year 5
Friday afternoons (occasional)
Dorothy Boyt House, Malabar
Claremont bus

School Picnic - Years K - 6
Monday 30 November 9.00am-3.00pm
Carrs Park
Government bus
Parent / Carer Permission *
My child has permission to attend the above listed activities in 2020 under teacher supervision without need for further parental permission. Your name typed below is acknowledgement of your permission.
First and Surname of person giving permission *
Your answer
SECTION 7 Publications Permission
With many sporting activities, functions and ceremonies throughout the year, parents are reminded of the School’s policy regarding taking photos and videos of their children.  We wish to ensure that the privacy of other students is maintained and therefore ask that students and parents do not post images and video clips on the internet (You Tube, Facebook, Instagram, personal webpages and the like, or any other public forum) where other students are in the photo or video. It is generally accepted as reasonable, that photos and videos taken at school events and activities, are solely used as personal keepsakes and mementos. Other than for these purposes, any publishing of a student’s image or identity must only be done so with the School’s knowledge and explicit consent.
I give permission for photo or video footage of my child participating in school activities, performances, sports events, camps etc, to be shared with other students/parents using school approved apps such as SEE-SAW, STILE (our online learning portal) for memorabilia and personal keep-sake purposes only. *
Read carefully
I give permission for my child's photo to appear in school related publications such as the school newsletter, school website and school photo gallery *
Read carefully
I give permission for photo or video footage of my child to appear in School marketing and promotional materials *
Read carefully
I give permission for the Parents and Friends Association and Year group Representatives to access my email and mobile contact details for communication purposes within the parent body *
Read carefully
SECTION 8 Working with Children Check
Do you have a Working With Children Check number from the Office of the Children's Guardian? *
Working with Children Check - Anglican Schools Corporation requires ALL ADULTS WHO VOLUNTEER WITH THE SCHOOL to have a Working with Children Check number from the Office of the Children's Guardian (free for volunteers and current for 5 years) https://www.kidsguardian.nsw.gov.au/ Claremont loves having parent volunteers in the school so please obtain one as soon as possible and provide your number and date of birth to office@claremont.nsw.edu.au
If yes, Parent/Carer 1: Name
Your answer
Date of Birth - required for verification purposes
MM
/
DD
/
YYYY
WWC Check Number
Your answer
WWC Expiry Date
MM
/
DD
/
YYYY
If yes, Parent/Carer 2: Name
Your answer
Date of Birth - required for verification purposes
MM
/
DD
/
YYYY
WWC Check Number
Your answer
WWC Expiry Date
MM
/
DD
/
YYYY
Cultural Background (optional question.) Sometimes the school celebrates different cultures. We would love to know if you have a cultural background other than Anglo
Your answer
Future changes
If any details change during the course of the year concerning the information you have provided, you can change contact details on the Parent Portal and other information by submitting an email to the School office - office@claremont.nsw.edu.au. Thank you for your help and co-operation with these important matters.

Your submission of this form is confirmation that all details are complete and accurate. Thank you
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