Work Address a) The Employer's address is not to be used for private mail.
Work Address. Would you like to be added to the mailing list to receive a newsletter with information about our service? ☐ YES ☐NO Secondary Guardian Details First Name, Last Name: Date of Birth: Relationship to child: Guardian’s CRN: Gender: Mobile Number: Home Phone Number: Email Address: Home Address: Work Status: ☐Working more than 15 hours/week ☐Looking for work ☐ Studying/Training ☐Unemployed Occupation/Employer: Work Number: Work Address: Would you like this guardian to be emailed the WESS OSHC Fee Statement every week? ☐ YES ☐NO Would you like this person to be added to the mailing list to receive the service newsletter? ☐ YES ☐NO Can this person be contacted in the event that your child is sick, injured or requiring medical attention? ☐ YES ☐NO Is this person authorised to sign incident, injury or illness reports written by the service? ☐ YES ☐NO Is this person authorised to allow an educator to take the child outside the service premises? ☐ YES ☐NO Is this person authorised to notify the service of a child’s absence? ☐ YES ☐NO Is this person authorised to add additional authorised persons to the pickup list? ☐ YES ☐NO Does this person have authorisation create and amend permanent or casual bookings? ☐ YES ☐NO Other Emergency Contacts and Authorised Persons Any persons added to your account previously will remain on your account as an authorised person until it is requested that they be removed. If you would like to know all persons on your Emergency Contact List, add any new contacts or make any changes to authorisations please email the service at xxxxxxxx@xxxxxxxx.xxx Child Medical, Health and Safety Information
Work Address. 2. Leatal Representative Name Surname: …………………………............................................................................................ Turkish ID NO: ………………………………………………………………………………………………….....……. Mobile Phone : 0 (…..……)…..………..………..………..……........…..………..………..…….................... Home Telephone : 0 (…..……)…..………..………..………..……........…..………..………..……............
Work Address. Name of your Employer........................................................................................................
