Date Format: DD slash MM slash YYYY
Parent 1/ Guardian 1 / Carer 1
Parent 2/ Guardian 2 / Carer 2
Other than above, in case parents/guardian are not contactable
Court orders relating to the child:
If these orders change the powers of a parent/guardian to:
• authorise the taking of the child outside the service by a staff member of the service
• consent to the medical treatment of the child
• request or permit the administering of medication to the child
• collect the child AND/OR give these powers to someone else.
Please upload the original court order/s for administration to verify and a copy for to this enrolment procedure.
Medication that is to be given by the Registered Nurse for any condition, must be provided by the parents along with the completed documentation (AGS Medication Administration Authorisation form).
Please list any other information of which the School should be aware of, including any special needs or disabilities requiring assistance: