2024/25 Summer Vacation Care Consent, Acknowledgement and Waiver

Consent, Acknowledgement and Waiver

(Permission Slip)

SUMMER 2024-2025

VACATION CARE

A.B.N. 64 385 249 440

Phone: 0468 481 604

Castle Cove Public School, Kendall Road, Castle Cove NSW 2069

Email: tkcteam@thekidscastle.com.au

I agree that a link to the relevant Risk Assessments for the activities (and for the other Vacation Care Program activities that are not incursions or excursions) has been forwarded to me by email for me to review before signing this Consent, Acknowledgement and Waiver. Copies are also available at the Centre for me to review.

The TKC Master Risk Control Plan referred to in each of the Risk Assessments is available on The Kids' Castle website
(https://thekidscastle.com.au/about-tkc/policies-and-procedures/#risk-assessments).

I Agree

December 21, 2024

Please select who will be participating...

Minor(s)
1 Minor 2 Minors 3 Minors 4 Minors 5 Minors More Minors 6 Minors 7 Minors 8 Minors 9 Minors 10 Minors

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First Parent or Guardian's Name

First Name*

Last Name*

Phone*

First Parent or Guardian's Date of Birth*

First Parent or Guardian's Signature*

Type Signature

Draw Signature

Click to Sign

Second Parent or Guardian's Name

First Name*

Last Name*

Second Parent or Guardian's Date of Birth*

Third Parent or Guardian's Name

First Name*

Last Name*

Third Parent or Guardian's Date of Birth*

Fourth Parent or Guardian's Name

First Name*

Last Name*

Fourth Parent or Guardian's Date of Birth*

Fifth Parent or Guardian's Name

First Name*

Last Name*

Fifth Parent or Guardian's Date of Birth*

Sixth Parent or Guardian's Name

First Name*

Last Name*

Sixth Parent or Guardian's Date of Birth*

Seventh Parent or Guardian's Name

First Name*

Last Name*

Seventh Parent or Guardian's Date of Birth*

Eighth Parent or Guardian's Name

First Name*

Last Name*

Eighth Parent or Guardian's Date of Birth*

Ninth Parent or Guardian's Name

First Name*

Last Name*

Ninth Parent or Guardian's Date of Birth*

Tenth Parent or Guardian's Name

First Name*

Last Name*

Tenth Parent or Guardian's Date of Birth*

Parent or Guardian's Email Address

Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.

Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.

By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.

Parent or Guardian's Name

First Name*

Last Name*

Phone*

Parent or Guardian's Date of Birth*

Parent or Guardian's Signature*

Type Signature

Draw Signature

Click to Sign

Electronic Signature Consent*

By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.

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