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Accompanying adults details form

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​​​Please include all visiting teachers and adult helpers on this form and indicate their delegation, their Blue Card accreditation and any medical considerations, which the teaching staff need to be aware of.

Two (2) copies must be brought with you on the day of your excursion, unless you are completing the online form below.

Important 

The following details MUST be included when completing the form:

  • Names of accompanying adults and their delegation
  • Whether they are a Blue Card holder or hold an exemption
  • Any pre-existing medical conditions.

Privacy Statement

​The Department of Education through Nudgee Beach Environmental Education Centre is collecting personal information in accordance with Education (General Provisions) Act 2006 in order to maintain our records. The information will only be accessed by Department of Education. The information will not be given to any other person or agency unless consent is provided.​


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 Accompanying adults details form



Name | Delegation i.e. Teacher/Parent/Staff | Blue Card holder / Exempt | Medical conditions (if applicable)
Name | Delegation i.e. Teacher/Parent/Staff | Blue Card holder / Exempt | Medical conditions (if applicable)
Name | Delegation i.e. Teacher/Parent/Staff | Blue Card holder / Exempt | Medical conditions (if applicable)
Name | Delegation i.e. Teacher/Parent/Staff | Blue Card holder / Exempt | Medical conditions (if applicable)
Name | Delegation i.e. Teacher/Parent/Staff | Blue Card holder / Exempt | Medical conditions (if applicable)
Name | Delegation i.e. Teacher/Parent/Staff | Blue Card holder / Exempt | Medical conditions (if applicable)
Name | Delegation i.e. Teacher/Parent/Staff | Blue Card holder / Exempt | Medical conditions (if applicable)
Name | Delegation i.e. Teacher/Parent/Staff | Blue Card holder / Exempt | Medical conditions (if applicable)
Name | Delegation i.e. Teacher/Parent/Staff | Blue Card holder / Exempt | Medical conditions (if applicable)
Name | Delegation i.e. Teacher/Parent/Staff | Blue Card holder / Exempt | Medical conditions (if applicable)
Name | Delegation i.e. Teacher/Parent/Staff | Blue Card holder / Exempt | Medical conditions (if applicable)
Name | Delegation i.e. Teacher/Parent/Staff | Blue Card holder / Exempt | Medical conditions (if applicable)
Name | Delegation i.e. Teacher/Parent/Staff | Blue Card holder / Exempt | Medical conditions (if applicable)
Name | Delegation i.e. Teacher/Parent/Staff | Blue Card holder / Exempt | Medical conditions (if applicable)
Name | Delegation i.e. Teacher/Parent/Staff | Blue Card holder / Exempt | Medical conditions (if applicable)
Name | Delegation i.e. Teacher/Parent/Staff | Blue Card holder / Exempt | Medical conditions (if applicable)
Name | Delegation i.e. Teacher/Parent/Staff | Blue Card holder / Exempt | Medical conditions (if applicable)
Name | Delegation i.e. Teacher/Parent/Staff | Blue Card holder / Exempt | Medical conditions (if applicable)
Name | Delegation i.e. Teacher/Parent/Staff | Blue Card holder / Exempt | Medical conditions (if applicable)
Name | Delegation i.e. Teacher/Parent/Staff | Blue Card holder / Exempt | Medical conditions (if applicable)
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Last reviewed 27 July 2021
Last updated 27 July 2021