Date Format: DD slash MM slash YYYY
Parent 1/ Guardian 1 / Carer 1
Parent 2/ Guardian 2 / Carer 2
In case parents/guardians are not contactable, please provide details for a suitable adult to be contacted.
Court orders relating to the child:
Please upload the original court order/s for administration to verify and a copy for to this enrolment procedure.
Please describe these changes (i.e. to 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) and provide the contact details of any person given these powers.
Date Format: MM slash DD slash YYYY
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 contact School Nurse if required.
Please list any other information of which the School should be aware of, including any special needs or disabilities requiring assistance: