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Authorisation for Excursion Form

  • Authorisation for Excursion Form

  • Our service has organised an excursion for your child to attend. All of the relevant details are provided below for your convenience. The service has conducted an Excursion Risk Assessment which is available for your review upon request. For your child/ren to attend, you are required to read this information and complete the Authority for Excursion Form. To complete this Form, you must be listed on the child’s enrolment record as either their parent or an Authorised Nominee.

  • Date of excursions and destinations:


    Monday 11th January

    UpUnlimited 4/44 Warrigal Rd, Moorabbin VIC 3189 (Boys),

    Tuesday 12th January

    Animal Land Children's Farm 200 Duncans Lane, Diggers Rest VIC 3427 (Girls),

    Wednesday 13th January

    Animal Land Children's Farm 200 Duncan Lane, Diggers Rest VIC 3427  (Boys),

    UpUnlimited 4/444 Warrigal Rd, Moorabain VIC 3189 (Girls).

    Thursday 14th January 

    Glowzone 32 Levanswell Rd, Moorabbin VIC 3189 (Boys & Girls) 


    Wednesday 20th January

    Luna Park 8 Lower Esplanade, St  Kilda VIC 3182(Boys) 

    Latitude 590 Waterdale Rd, Heidelberg VIC 3081 (Girls) 

    Thursday 21st January

    Latitude  590 Waterdale Rd, Heidelberg VIC 3081  (Boys),

    Luna Park 8 Lower Esplanade, St Kilda VIC 3182 (Girls). 

  • Reason for excursion: Excursions during vacation care are for children to develop an understanding of belonging to groups and communities and to learn to interact in relation to others with care, empathy and respect. The excursions create a fun learning environment with physical activities.

    Transportation Details (to and from): The most convenient and safest route as determined by the bus driver at the time. They will be going by private charter bus. All buses are equipped with seat belts. 

    Staff to child ratio: Will be a minimum of 1:15. Up to 90 children with 6 staff and 9 volunteers.

    The Period the Child will be Away from the Service Premises Children will be off premises for approx. 3 - 4 hours.

  • Authority for my child/ren to attend the excursion:

  • By submitting the Authorisation for Excursion Form, I agree to and understand the following:

    • My child has my permission to attend the excursion listed.
    • I am listed on the child’s Enrolment Form as a Parent or Authorised Nominee.
    • I have read all of the details provided by the service and understand that I can access the Excursion Risk Assessment at the service.
    • The contact details, including all emergency contact details, listed on my child’s Enrolment Form are up-to-date. If not, I have provided the updated contact details.
  • Should be Empty:
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