Child Collection Authorisation

At KIDS Family Day Care, the safety of your child is our highest priority. To ensure children are only released to authorised individuals, we require written permission for anyone other than a parent/guardian to collect your child.

Please complete this form with the details of the authorised person(s). They will be required to show identification upon collection. If there are any changes to this authorisation, please notify us immediately.

Authorised person(s) must be 18 years of age or older.

If you have any questions, feel free to speak with your educator or contact our team.

Child/Children's Full Name/s

First Name

Last Name

Parent/Guardian Email

Parent/Guardian Name

First Name

Last Name

Educator Name

First Name

Last Name

Name of Authorised Person

First Name

Last Name

Relationship to Child

Authorisation Type

If temporary, please specify authorised date

YYYY

Comments

Child Collection Authorisation

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