Excursion Permission Form Template Childcare – Australia

The Excursion Permission Form Template – Childcare – Australia is offered in multiple formats including PDF, Word, and Google Docs. Each version is designed to be both editable and printable, ensuring that they cater to your specific requirements effortlessly.


Sample

Excursion Permission Form Template Childcare – Australia

Editable | Printable



1. Child’s Information


2. Parent/Guardian Information


3. Excursion Details


4. Purpose of the Excursion

5. Transportation Details

6. Emergency Contact Information

7. Consent Declaration

8. Special Requirements

9. Signature and Date



PDF


WORD

Examples


Excursion Permission Form Template – Australia (1)
Child’s Name:
[Child’s Full Name]
Child’s Age:
[Child’s Age]
Excursion Details:
[Description of Excursion]
Date: [Excursion Date]
Location: [Excursion Location]
Departure Time:
[Departure Time]
Return Time:
[Return Time]
Mode of Transport:
[Mode of Transport]
Emergency Contact Information:
Name: [Emergency Contact Name]
Phone Number: [Emergency Contact Phone]
Medical Conditions:
[List any medical conditions or allergies]
Parent/Guardian Consent:
I, [Parent/Guardian Name], give permission for my child, [Child’s Full Name], to participate in the excursion to [Excursion Location] on [Excursion Date].
Signature:
[Parent/Guardian Signature]
Date: [Date of Signing]
Excursion Permission Form Template – Australia (2)
Child’s Full Name:
[Child’s Full Name]
Parent/Guardian Name:
[Parent/Guardian Name]
Excursion Destination:
[Excursion Location]
Excursion Date:
[Excursion Date]
Departure from Childcare:
[Departure Time]
Expected Return Time:
[Return Time]
Transportation Details:
[Details on transportation used]
Health Information:
Does your child have any health issues? [Yes/No]. If yes, please specify: [Details].
Emergency Contact (if different from parent/guardian):
Name: [Emergency Contact Name]
Phone: [Emergency Contact Phone]
Consent Statement:
I hereby consent to my child attending the excursion to [Excursion Location] on [Excursion Date].
Signature of Parent/Guardian:
[Parent/Guardian Signature]
Date: [Date of Signing]

Printable




Excursion Permission Form Template Childcare - Australia