I give permission for Melton City Council to transport my child/children to and from approved activities and events. I understand that all reasonable measures will be taken to ensure their safety during transportation.
Do you give permission for this participant to walk home unsupervised?
Do you give permission for photos/videos of this participant being used for promotional activities?
Medical Information
Does the participant have any medical history or allergies we need to know about?
Please provide details:
Does the participant have any medical conditions or disability which may affect safe participation?
Please provide details:
Is the participant currently taking any medications?
Please list the name and dosage of the medications:
If required, do you give Council staff permission to issue the above medications?
Does the participant have any additional needs program staff need to be aware of?
Please provide additional details:
Other details
Other details
Would you like to receive updates about Melton Learning Directory programs via email and SMS?
Has this person attended a Council program before?
Which program/s?
Do you speak any language other than English at home?
Which language?
Do you identify as Aboriginal or Torres Strait Islander?
How did you hear about us?
Melton City Council will not be responsible for any loss, damage or injury to my person or property. Information on this form will be kept private and used only to help provide access to better services in the community.
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