Private transport permission form

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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 privately transport children to and from excursions. The information will only be accessed by employees of the Department of Education and Training. The information will not be given to any other person or agency unless prior consent is obtained.

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Child’s last name

Child’s first name

Class

Excursion/activity name

Permission

Yes

I give permission for my child to travel by private transport to the above named activity or excursion.

Driver’s licence

Yes

I understand that in order to provide transport, the driver must be the holder of a current driver’s licence and that vehicles must be covered by compulsory third party insurance. If the driver is not a parent or teacher from the school they also require a Blue Card.

Information shared

Yes

I understand that my information may be shared with the drivers who will be transporting children in their vehicle.

Insurance excluded

Yes

I am aware that the Department of Education and Training does not have personal accident insurance cover for students.

Agreement

Yes

I understand that by submitting this form I agree to all terms and conditions.

Parent/Carer name

Date

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