Foundations Family Day Care Service - Excursion Permission Form

Educator: Umbe Bwisengo
Child Collection and Drop off Permission Form
As a part of providing care for your children your educator may collect and drop off your children as required and arranged with each family. Every time a new child starts with your educator, a new Risk Assessment is completed and new Permission forms are required from each family.
Home 1 Address: 166 Church St Zillmere
Home 2 Address: 1 Weenah St Bracken Ridge
Expected Duration: 20min
Method of Transport: Educator Car
I give permission for my child/children to be collected and dropped off by by the educator*
YesNo
Child or Children’s Name*
Parent/Guardian Name*
Parent/Guardian Signature*
Date
DayMonthYear
Date
Foundations Family Day Care Service
1a/158 Church Rd Zillmere 4034
Phone: 0412 596 782
Should be Empty:

Child Collection and Drop off Permission Form