Kingston Community School

KINGSTON COMMUNITY SCHOOL

GENERAL CONSENT FORM

2013

CHILD’S NAME: ______HOME GROUP: ______

PARENT I CARE GIVER NAME: ______

Please tick yes or no at each section and then sign and date the bottom of the page overleaf.

PERMISSION TO ACT IN THE EVENT OF A MEDICAL EMERGENCY

In the event of a medical emergency, I hereby give permission for the school to take the appropriate action (including calling an ambulance if necessary).

¨ yes ¨ no

PERMISSION TO BE PHOTOGRAPHED

I consent to photos/videos/other images of my child being taken by Kingston Community School or other photographers on behalf of the school for a variety of public relations, communications and promotional activities, including publication in the school magazine, the community, rural and state newspapers, television, internet and intranet and the school newsletter for the period of the child’s school life and acknowledge that any recording made by the above photographers of my child in connection with the above activities is an authorised use of my child’s performance for the purposes of the Copyright Act 1968. I will notify Kingston Community School in writing if I withdraw consent for images/photographs of my child to be published.

¨ yes ¨ no

PERMISSION TO INSPECT FOR HEAD LICE

The South Australian Health Commission recommends that everyone checks their hair every week for head lice. Checking and treating children’s hair is BY LAW A PARENT’S RESPONSIBILITY.

I give permission for the school staff to check my child’s hair for head lice. I will do this. I understand that my child can be excluded from school if staff believe he or she may have lice. I understand it is my responsibility to arrange collection of my child from school when notified. I understand that I may have to provide a letter from a general practitioner to say my child is free of head lice.

¨ yes ¨ no

BUS RULES

I have read and discussed the Kingston Community School Bus Rules with the students in our family. We agree to support the Kingston Community School Bus Rules, and understand that consequences will be put in place for misbehaviour. This includes not wearing seat belts where provided. Please be aware that buses are now equipped with CCTV cameras.

Parent Signature: Date:

J:\Common\Admin\Forms\Beginning of year forms\Masters\2013\2013 General Consent Form.doc