TBC Kids Visitor Check-in

DETAILS OF PARTICIPATING CHILD

Parent Details

PARENT/GUARDIAN - PERMISSION SECTION (Please select YES to indicate agreement)

I/we understand that if urgent medical attention is needed, that every effort will be made to contact the person/s listed on this form. In the event that contact cannot be made, I/we authorise the leader in charge to take such action as may be necessary, including the calling of an ambulance and treatment by paramedics. I/we also authorise the Medical Response Plan as outlined above. I accept responsibility for all expenses associated with such treatment.