Excursion Permission Form: Kosher Hunt 2017

Dear Families,

As part of our Brachot study, we will be holding a scavenger hunt and pizza party for our Hebrew School students at Zavdiel Pizza located at 57A Kooyong Rd, Caulfield North.

Drop off and pick up will be at the park on the corner of Dorgan Rd and Kooyong Rd at 4:00. Activities will be held at the park and students will then walk with staff and volunteers to the pizza shop to eat. Pick up will be at 5:30. Please send a coat.


Sarah & Reuvi 

Our service has organised an excursion for your child to attend. All of the relevant details are provided for your convenience. The service has conducted an Excursion Risk Assessment which is available for your review up request. For your child to attend, you are required to complete the Authority for Excursion Form. To complete this form, you must be listed on the child's enrolment record as either their parent of an Authorised Nominee.

Time and Date of Proposed Excursion:

Monday 19th June   4:00pm -5:30pm

Cost: N/A

Reason for Excursion: Brachot siyum (celebration of a completed section of learning) and end of year party

Destination: Zavideils Pizza Store and Park 

Transportation Details (to and from): By foot.

The period the child will be away from the Service Premise: Approximately 90mins

Number of adults involved and the anticipated ratio of adults to children: 4 Staff Members, 3 volunteers. 7:10

Number of children involved: Up to 20 at a time

Proposed Activities: Scavenger hunt in the park (snacks provided throughout hunt), walk to pizza shop, eat, walk back to park for pickup

Items to be taken by the child and provided by the parents: Weather appropriate clothing and, if needed, medication.

Authority for my child to attend the excursion

Child's Full Name:

Person completing this form:

Relationship to child:

I am interested in volunteering to attend the excursion: No Yes


By signing the Authorisation for Excursion Form, I agree to and understand the following:

  • My child has my permission to attend the excursion listed. If the excursion is a regular outing, my child has permission to attend for 12 months after the date listed below.

  • I am listed on the child's Enrolment Form as a parent or Authorised Nominee.

  • I have read all of the details provided by the service and understand that I can access the Excursion Risk Assessment at the service.

  • The contact details, including all emergency contact details, listed on my child's Enrolment Form are up to date. If not, I have provided the updated contact details above.

I agree to and understand the above.


E- signature:
Sign on the line with your mouse or finger