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Standard permission form

 

​​The Department of Education and Training, through Yandina State School, is collecting personal information in accordance with Education (General Provisions) Act 2006​ in order to maintain student per​mission records. The information will only be accessed by Department of Education and Training. The information will not be given to any other person or agency unless consent is provided. ​​

  • Child's name
  • Class
  • Excursion name
  • Excursion date
    Select a date from the calendar.
  • Payment
  • Student medical details
  • Refund
    I understand that if my child is away on the day of the activity no refund will be provided unless a medical certificate is provided. (Refunds will be provided if the activity is cancelled).
  • Parent/Carer name
  • Date
    Select a date from the calendar.
  • Activity risks insurance
    The activity outlined above carries an inherent risk of physical injury occurring. Please note that the Department of Education and Training does not have personal accident insurance cover for students. If your child is injured as a result of an accident or incident, all costs associated with the injury, including medical costs are the responsibility of the parent/carer. Some incidental medical costs may be covered by Medicare. If you have private health insurance, some costs may be also be covered by your provider. Any other costs must be covered by parents/carers. It is up to all parents/carers to decide what types and what level of private insurance they wish to arrange to cover their child. Please take this into consideration in deciding whether or not to allow your child to participate in this activity. I understand and acknowledge the above.
  • Agreement
    I understand that by submitting this form I give consent for my child to participate in the activity detailed.