Bay Kids Club

Collection Consent Form

To Whom it may concern,

I give Consent for Bay Kids Club to collect my child(ren) from school.

Child(rens) names - Please seperate names by commas.

Current School

Name of parent(s)

Date

Email address

I agree for my child(ren) to be escorted from school to Bay Kids Club. Please check the agree box.

If you have a child(ren) with a bike or scooter and are happy for them to go ahead of the walking bus please check the agree box. (must be 8yrs +).

Please contact us should you require any further clarification.

Bay Kids Club - Eileen Holmes or any BKC appointed representative (021 124 1077).

Thank you

Before and After School Care Titahi Bay, Porirua, Wellington