Bay Kids Club

Collection Consent Form

Please note: We are only able to provide pick up services to schools in Titahi Bay.

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.


In addition to the above agreement please check/tick what may be applicable for your child(ren) below.

Consent for your child(ren) to be transported by vehicle if applicable.

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

For your child(ren) to leave unaccompanied to walk home or to local sports training.


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