An authorised nominee is an individual who has been granted permission from the parent/guardian to collect the child, should the parent/guardian be unavailable or in the event of an emergency, accident/incident or illness. The authorised nominee must be over the age of 18 years and be located in close proximity to the service. Please nominate at least one authorised nominee. Nominee #1 I hereby authorise this nominee to: Name: Collect the child/ren from the service Work phone: Consent to medical treatment for the child/ren Mobile: Consent to administration of medication Relationship to child: Consent to an educator taking the child/ren outside the premises Address: Nominee #2 I hereby authorise this nominee to: Name: Collect the child/ren from the service Work phone: Consent to medical treatment for the child/ren Mobile: Consent to administration of medication Relationship to child: Consent to an educator taking the child/ren outside the premises Address: All details completed are correct as at the date below: Parent/Guardian Signature: Date:
An authorised nominee is an individual who has been granted permission from the parent/guardian to collect the child, should the parent/guardian be unavailable or in the event of an emergency, accident/incident or illness. The authorised nominee must be over the age of 18 years and be located in close proximity to the service. Please nominate at least one authorised nominee. Nominee #1 I hereby authorise this nominee to: Name: Collect the child/ren from the service Work phone: Consent to medical treatment for the child/ren Mobile: Consent to administration of medication Relationship to child: Consent to an educator taking the child/ren outside the premises Address: Nominee #2 I hereby authorise this nominee to: Name: Collect the child/ren from the service Work phone: Consent to medical treatment for the child/ren Mobile: Consent to administration of medication Relationship to child: Consent to an educator taking the child/ren outside the premises Address: Parent/Guardian Signature: Date: All details completed are correct as at the date below:
Fairley-School-Age-Preshool-Care-Enrolment.docx