Afternoon Self-Presenting Child Permission Form
I,      			
Parent/Guardian of,      
Class:      		Child’s Mobile Phone Number:      
Authorise and nominate:

•	Kym Connelly – Coordinator & Nominated Supervisor
•	Nicholas Stephan – Assistant Coordinator
•	Cathie Pratt – Assistant Coordinator / Educational Leader

Of Albany Hill State School Outside School Hours Care program to sign my child into the service on arrival from catching the bus or walking from high school to after school care.
I anticipate my child/ren will arrive approximately at      	PM.
Bus company:      
Bus Route Number:      		Departure Time:      
From Stop Number:      
Address of Stop Number:      
Walking – Address walking from and route:     
Approximate Arrival Time at OSH:      
My child will be enrolled at the program for the following care:
 After School Care: My child will be required to be signed in for Before School Care by one of the above nominated management members of Albany Hills Outside School Hours Care.
•	I am aware and understand that until my child/ren arrive at Albany Hills Outside School Hours Care program and are signed in, my child/ren will be responsible for themselves, safety, and well-being.
•	I am aware and understand that my child/ren are always required to carry a working mobile phone on their person during all times of transit. This will allow them to contact either their parents or the service in cases where they may be running late, or a situation has occurred to delay their arrival. The parent/guardian must notify the service immediately of any changes to care or changes in arrivals.
•	I will provide the service with a contact number for my child/ren’s mobile and notify the service of any changes.
Parent:      
Signature:      
Date:      
Management Name:      
Signature:      
Date: