Student Details and Permissions Form 2022
Please include as much information about your child for next year as possible so the school can provide the best possible care. There are 9 sections and we ask you to submit a SEPARATE GOOGLE FORM FOR EACH OF YOUR CHILDREN ATTENDING CLAREMONT COLLEGE IN 2022. The information you provide, replaces all information from 2021.  We ask you to complete the forms by 03 December 2021 so we can be ready to start the 2022 year. Thank you.
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Email *
Student First Name *
Student Surname *
Year Level in 2022 *
Parent/Carer First Name and Surname (or the person completing this form) *
Parent/Carer First Name and Surname of a 2nd primary  carer *
SECTION 1 Parent Portal
Claremont uses the information you place on the Parent Portal for the most up to date contact and medical details (including current Medicare numbers) for your family.  Check one of the boxes below.  If you have any issues with login or navigating your Parent Portal, contact Mr Andrew Nield via the School Office on (02) 9399 3217 or office@claremont.nsw.edu.au 
*
Required
SECTION 2 Authority to Collect 2022
Parents often car pool to collect children after school. If anyone, APART FROM parents or emergency contacts will be collecting your child, their names must be listed with us. Only immediate parents/carers, 'Emergency Contacts' or those with 'Authority to Collect' will be permitted to collect your child. If you wish to add names to the list during the year, send the details in an email to the Office.
I have already provided Authority to Collect details on my other child's form *
Name of collection person 1
Name of collection person 2
Name of collection person 3
Name of collection person 4
Name of collection person 5
Name of collection person 6
SECTION 3 Student Health
This section must be completed afresh EVERY year
1. Does your child suffer from any medical condition, including allergies and asthma?  Please describe in detail, and include a list of any regular medications, sending further information if necessary. We require current copies of all Anaphylaxis, Asthma and Allergy plans. *
1(a) Name the medical condition or allergy
1(b) Would you describe this condition as
Clear selection
1(c) Describe likely symptoms / reactions
1(d) Outline a treatment plan.
1 (e) List of regular medications
1(f) A current copy of the Medical Treatment Plan (eg Anaphylaxis, Allergy or Asthma) from my child's doctor has been forwarded to the school office
Clear selection
2. My child will require an individual medical box on site and to be taken to Sport and excursions *
2 (a) What will be contained in the Medical Box?
2 (b) If daily medication will be required at School, indicate dosage and time to be given below and speak directly to Ms Sallie Neville, our School Nurse
3. In the case of a medical emergency
Should the school be unable to contact either parent in the case of a medical emergency, an Ambulance will be called or your child will be driven to the Sydney Children's Hospital.
Should the school be unable to contact either parent, do you give permission for your child to be given an appropriate dose of Panadol if required? *
SECTION 4  Permission to Walk or catch a bus after school without adult supervision. Children have their names marked off on a 'walkers' list and are only supervised crossing Judge St. Usually applies to older children only.
I give permission for my child to walk after School without adult supervision *
Required
SECTION 5 Permission to participate in off-site regular school activities
There are regular activities during the school year when students attend off-site school activities which are part of the normal school program, such as weekly Wednesday sport. There are also occasions when class activities move outside the classroom to areas in close proximity to the school. For example, we have taken children to the memorial in High Cross Park on Remembrance Day,  outside the school grounds to complete mathematical activities and the Primary children are sometimes taken to Coogee Beach for PE lessons or lunch times. In addition, children are taken off-site when practising emergency evacuation procedures. Whilst we may not seek permission from parents for such activities, they will only be undertaken with the permission of the Principal or his representative.

Further specific details will be provided in notes and the newsletter regarding the events and programs listed. Your separate permission will be mandatory for class excursions, camps and carnivals. Parents are asked to contact the school should any further information be required concerning the programs listed below.

Regular activities have been summarised below for your convenience.

Infants Sport - Years K - 2
Wednesdays
UNSW Gym/Pool/Local sporting facilities/Grant Reserve
Government bus/private bus

Primary Sport - Years 3-6
Wednesday
UNSW Gym/Pool/Local sporting facilities/Grant Reserve
Government/Private bus

Before School Morning Sport Skills and Training - Various year groups
Weekly throughout the term
Grant Reserve, Eastern Suburbs Tennis Centre
Claremont bus (returning students to school)

Swimming
Wednesday Years 2, 3, 4 (Term 1**subject to change)
2 week program  - K & Yr1 (Term 4 **subject to change)
UNSW or Coogee Diggers Fitness Centre
Government/Claremont bus

Offsite Primary lunches
Years 3-6; 12.30pm - 1.15pm
Each Primary year group is taken off-site about once/week to relieve pressure on the playground.
Grant Reserve
Claremont Bus

Nursing Home Visit - Year 5 students only
Friday afternoons (occasional)
Dorothy Boyt House, Malabar
Claremont bus

School Picnic - Years K - 6
Monday 05 December 9.00am-3.00pm
Carrs Park
Government bus
Parent / Carer Permission *
My child has permission to attend the above listed activities in 2022 under teacher supervision without need for further parental permission. Your name typed below is acknowledgement of your permission.
First and Surname of person giving permission *
SECTION 6 Publications Permission
With many sporting activities, functions and ceremonies throughout the year, parents are reminded of the School’s policy regarding taking photos and videos of their children.  We wish to ensure that the privacy of other students is maintained and therefore ask that students and parents do not post images and video clips on the internet (You Tube, Facebook, Instagram, personal webpages and the like, or any other public forum) where other students are in the photo or video. It is generally accepted as reasonable, that photos and videos taken at school events and activities,  are solely used as personal keepsakes and mementos. Other than for these purposes, any publishing of a student’s image or identity must only be done so with the School’s knowledge and explicit consent.
I give permission for photo or video footage of my child participating in school activities, performances, sports events, camps etc, to be shared with other students/parents INTERNALLY ONLY via school approved Apps, password protected galleries and other internal publications. *
Read carefully
I give permission for photo or video footage of my child participating in school activities, performances, sports events, camps etc, to be shared in the PUBLIC DOMAIN on platforms including Facebook, Instagram, Twitter, LinkedIn, Youtube, the Claremont newsletter and website, marketing and promotional materials (where students are named, no surnames will be used) *
Read carefully
I give permission for the Parents and Friends Association and Year group Representatives to access my email and mobile contact details for communication purposes within the parent body *
Read carefully
SECTION 7 Working with Children Check
Do you have a Working With Children Check number from the Office of the Children's Guardian? *
Working with Children Check - Anglican Schools Corporation requires ALL ADULTS WHO VOLUNTEER WITH THE SCHOOL  to have a Working with Children Check number from the Office of the Children's Guardian (free for volunteers and current for 5 years) https://www.kidsguardian.nsw.gov.au/  Claremont loves having parent volunteers in the school so please obtain one as soon as possible and provide your number and date of birth to office@claremont.nsw.edu.au 
If yes, Parent/Carer 1: Name
Date of Birth - required for verification purposes. (Please enter using the following format dd/mm/yyyy)
WWC Check Number
WWC Expiry Date (Please enter using the following format dd/mm/yyyy)
If yes, Parent/Carer 2: Name
Date of Birth - required for verification purposes (Please enter using the following format dd/mm/yyyy)
WWC Check Number
WWC Expiry Date (Please enter using the following format dd/mm/yyyy)
Section 8 Emails Sent to the Office
I understand that an email sent to the office by me is forwarded to the staff member it is intended for, their team and any other relevant Claremont College staff member who may benefit from the information contained therein for the purposes of assisting that student.  If an email is to be sent to a particular Claremont College staff member ONLY, I will indicate this at the beginning of the email to ensure my privacy and confidentiality is maintained.
I give permission for my emails to be forwarded to all relevant Claremont College staff members unless otherwise indicated by me at the beginning of the email. *
Section 9 Emergency Contacts
Prior to receiving this form you will have received an email from Claremont College listing the names and mobile numbers of 3 people we can contact in the unlikely event of an emergency.  Please note, parents will always be contacted first and emergency contacts will only be used if both parents are not contactable.
I acknowledge that I have received and read the email regarding the Emergency Contacts that I have provided to Claremont College for my child/ren, and confirm that all names and mobile numbers are correct. *
Cultural Background (optional question.) Sometimes the school celebrates different cultures. We would love to know if you have a cultural background other than Anglo
Future changes
If any details change during the course of the year concerning the information you have provided, you can change contact details on the Parent Portal and other information by submitting an email to the School office - office@claremont.nsw.edu.au. Thank you for your help and co-operation with these important matters.

Your submission of this form is confirmation that all details are complete and accurate. Thank you
A copy of your responses will be emailed to the address you provided.
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