Greek Orthodox Community of Melbourne and Victoria

Excursion - Kalos Irthate

1. Parent / Guardian Details

Your Full Name:*

Please enter your full name.

Your Email:*

Please enter your email address.

Your Mobile:*

Please enter your mobile phone number.

Select Campus:*

Invalid Input

Select Class:*

Invalid Input

Your child's name:*

Please enter your child's name.

Photo Consent:*

I consent to my child appearing in photos taken during the excursion.Invalid Input

Medical Consent:*

I give permission for this child to attend this event. Where the staff member in charge is unable to contact me, or where it is impracticable to contact me, I authorise the staff member in charge to 1) consent to any medical or surgical attention deemed necessary by a medical practitioner, and 2) administer such first-aid as the staff member in charge judges to be reasonably necessary. I understand that this is an official school event and that my child will adhere to the dress code, as outlined above, and behave in alignment with the school's code of conduct. I agree to meet any medical expenses and/or transport costs incurred in the event of sickness or injury. Invalid Input

Total Amount: $*

Invalid Input

Name on Card:*