Full Name: Relationship to child: Address: (H) Phone Number: (M) (W) Email Address: Can this person be contacted to give consent for medical treatment or to authorise for a Nominated Parent Supervisor or educator to Yes/No Signature: administer medication to the child in the event that you cannot be contacted? (Please Circle) Can this person be contacted to Parent give consent to the transportation Yes/No Signature: of the child by an ambulance service? CHILD CARE SUBSIDY (CCS) Child Care Subsidy will be paid directly to the Service to reduce the fees families pay. To claim Child Care Subsidy (CCS) Families must meet eligibility requirements which include:
Full Name: Relationship to child: Address: Phone Number: (H) (M) (W) Email Address: Can this person be contacted to give consent for medical treatment or to authorise for a Nominated Supervisor or educator to administer medication to the child in the event that you cannot be contacted? (Please Circle) Yes/No Parent Signature: Can this person be contacted to give consent to the transportation of the child by an ambulance service? Yes/No Parent Signature: CHILD CARE SUBSIDY (CCS) Child Care Subsidy will be paid directly to the Service to reduce the fees families pay. To claim Child Care Subsidy (CCS) Families must meet eligibility requirements which include:
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