Permission Form

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

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Permission form

Child's name *

Class *

Excursion name *

Excursion date *

Payment *

I have paid via the internet

I will be paying at the payment window

Student medical consent form *

Yes

I have completed and returned Form C (Student medical consent form).

Personal accident insurance *

Yes

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

Seatbelts *

Yes

I understand and accept that the students may be transported to and from the activity by buses without seatbelts.

Activities *

Yes

I am aware of the types of activities my child will be participating in.

Refund *

Yes

I understand that if my child is away on the day of this activity no refund will be provided.

Parent/carer name *

Date

Agreement *

Yes

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

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