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/caregiver

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.

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