Parental Consent and Acceptance of Conduct for a school visit
I agree to my child taking part in this visit and have read the information. I agree to my child’s participation in the
activities described. I acknowledge the need for my child to behave responsibly, taking heed of the points listed
below and we both sign to confirm our acceptance:

• To listen to and obey all instructions given by members of Staff.
• At no time to wander off or leave the main group.
• Never go anywhere alone.
• When travelling by private or public transport of any kind (plane, coach, minibus, bus, car, train, ferry, taxi, boat):
a) To behave sensibly at all times and do nothing to distract the driver;
b) Not to leave any rubbish on the mode of transport;
c) To remain seated and not to go anywhere (e.g. toilet, shop, cafeteria) without the permission of a member
of Staff.
d) Not to be rude to any other passengers.
• To behave sensibly and not annoy any other member of the public.
• Not to purchase any item(s) which are dangerous, banned or illegal.
• I understand that if there is a serious breach of discipline that my parents will be sent for to bring me home.
• I understand that if I misbehave while on the school visit, I will not be allowed on any future visits.
• I will behave at all times in a manner which is expected of a student at the Cottesloe School.
Email *
Visit Location
Visit Date From *
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Visit Date To
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Student Name *
Date of Birth *
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Form *
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