Parental Consent Form Template

The Parental Consent Form Template – Australia is offered in multiple formats, including PDF, Word, and Google Docs. Each version is designed to be both editable and printable, providing you with convenient options to suit your requirements.

Template – (Open)

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Sample

Parental Consent Form Template – Australia

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(PDF – 1) (PDF – 2)

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1. Child’s Information

2. Parent/Guardian Information

3. Second Parent/Guardian Information (if applicable)

4. Consent for Activities

5. Medical Information

6. Emergency Contact

7. Consent Declaration
I, the undersigned, declare that I am the legal parent/guardian of the child named above, and I consent to the activities outlined.

8. Signature and Date
Date:
Parent/Guardian’s Signature:

Second Parent/Guardian’s Signature (if applicable):

PDF

WORD

Examples

Parental Consent Form Template – Australia (1)

Child’s Information:
Name: [Child’s Name]
Date of Birth: [Child’s Date of Birth]
School/Institution: [School Name]
Class/Grade: [Class/Grade]

Parent/Guardian Details:
Name: [Parent/Guardian’s Name]
Relation to Child: [Relationship]
Address: [Parent/Guardian’s Address]
Phone: [Parent/Guardian’s Phone]
Email: [Parent/Guardian’s Email]

Consent Statement:
I, the undersigned, hereby give my consent for my child to participate in [activity or event] organized by [Organization Name] on [Event Date].

Emergency Contact:
Name: [Emergency Contact Name]
Phone: [Emergency Contact Phone]

Medical Information:
Please list any medical conditions or allergies: [Medical Conditions/Allergies]

Liability Waiver:
I understand that [Organization Name] will take all safety precautions necessary, but I will not hold them liable for any injuries incurred during the event.

Consent Approval:
I confirm that the information provided is accurate, and I give my consent for my child to participate as stated above.

Signed on [Date] in [City].

Sincerely,
[Parent/Guardian’s Signature]
[Parent/Guardian’s Printed Name]

Parental Consent Form Template – Australia (2)

Child’s Information:
Name: [Child’s Name]
Date of Birth: [Child’s Date of Birth]
School/Institution: [School Name]
Class/Grade: [Class/Grade]

Consent Statement:
I, the undersigned, consent to my child’s participation in [activity or event] to be held on [Event Date] by [Organization Name].

Emergency Contact:
Name: [Emergency Contact Name]
Phone: [Emergency Contact Phone]

Medical Information:
Please disclose any relevant medical history or allergies: [Medical History/Allergies]

Risk Acknowledgment:
I acknowledge that risks are inherent in this activity; however, I agree to the participation of my child.

Consent Approval:
I confirm all information is correct, and I approve of my child’s participation under the specified terms.

Signed on [Date] in [City].

Sincerely,
[Parent/Guardian’s Signature]
[Parent/Guardian’s Printed Name]

Printable

PDF – 1 PDF – 2

Parental Consent Form Template - Australia