Extra-Curricular Activity Authorisation Form
About the Extra-Curricular Activity Authorisation Form
A digital extra-curricular activity authorisation form that allows parents to provide written consent for their child to leave the education and care service to attend extra-curricular activities run by external providers. Under Regulation 99, a child may only leave the premises with an authorised person or in accordance with written authorisation. This form captures activity details, schedule, instructor information, and authorises the instructor as an authorised person to sign the child in and out.
Also called
- Extra curricular activity permission form
- Outside activity consent form
What's on this form
Every question included in the extra-curricular activity authorisation form. Add, remove or reword any of them in the form builder.
Form questions
Child Details
Child details
Activity Details
Name of Activity
Short answer
Location of Activity
Short answer
Start Date
Date
End Date
Date
Start Time
Time
End Time
Time
I authorise my child to attend their activity at a different time to that mentioned above, if there are one-off changes made to their activity schedule by their instructor (if there are any issues with this, please contact the service to discuss)
Yes / No
Days Activity Is Held
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
Days
I authorise my child to attend their activity during the following terms
- Term 1
- Term 2
- Term 3
- Term 4
Choose any
Instructor / Authorised Pickup Details
Instructor First Name
Short answer
Instructor Last Name
Short answer
Instructor Mobileoptional
Mobile
I authorise for my child to attend their activity with a different instructor, if their usual instructor is absent
Yes / No
I understand that by signing this form I give permission for the Instructor to be added as an Authorised Person to sign my child in & out of the service and to leave the service to attend an extra-curricular activity that is run by a provider other than the service.
Parent/Guardian Signature
Signature
Australian regulations this form supports
The extra-curricular activity authorisation form is built around the Education and Care Services National Regulations. These are the regulations it helps you meet.
Children leaving the education and care service premises
A child must not leave the premises unless given into the care of a parent or authorised person, or leaving in accordance with written authorisation of a parent or authorised nominee.
Read the full text of Reg 99
(1) The approved provider of an education and care service must ensure that a child who is being educated and cared for by the education and care service does not leave the education and care service premises except in accordance with subregulation (4). (2) A nominated supervisor of an education and care service must ensure that a child who is being educated and cared for by the education and care service does not leave the education and care service premises except in accordance with subregulation (4). (3) A family day care educator must ensure that a child who is being educated and cared for by the educator as part of a family day care service does not leave the residence or approved family day care venue except in accordance with subregulation (4). (4) The child may only leave the relevant premises if the child— (a) is given into the care of— (i) a parent of the child; or (ii) an authorised nominee named in the child's enrolment record; or (iii) a person authorised by a parent or authorised nominee named in the child's enrolment record to collect the child from the premises; or (b) leaves the premises in accordance with the written authorisation of the child's parent or authorised nominee named in the child's enrolment record; or (c) is taken on an excursion in accordance with this Division; or (ca) is transported by the service or on transportation arranged by the service in accordance with Division 7; or (d) is given into the care of a person or taken outside the premises— (i) because the child requires medical, hospital or ambulance care or treatment; or (ii) because of another emergency. (5) In this regulation parent does not include a parent who is prohibited by a court order from having contact with the child.
Policies and procedures — delivery and collection of children
The service must have policies and procedures in relation to the delivery of children to, and collection of children from, the service premises.
Read the full text of Reg 168(2)(f)
The approved provider of an education and care service must ensure that the service has policies and procedures in relation to delivery of children to, and collection of children from, education and care service premises, including procedures complying with regulation 99.
Provided for information only and may not reflect the latest amendments. Refer to the Education and Care Services National Regulations (NSW) for the official legal text.
Where this form fits
The extra-curricular activity authorisation form is part of these jobs — each guide walks through the whole sequence and the other forms that go with it.
Questions about the extra-curricular activity authorisation form
What is the extra-curricular activity authorisation form used for?
A digital extra-curricular activity authorisation form that allows parents to provide written consent for their child to leave the education and care service to attend extra-curricular activities run by external providers. Under Regulation 99, a child may only leave the premises with an authorised person or in accordance with written authorisation. This form captures activity details, schedule, instructor information, and authorises the instructor as an authorised person to sign the child in and out.
Who fills in the extra-curricular activity authorisation form?
The extra-curricular activity authorisation form is completed by a parent or guardian. You send them a secure link by email or SMS — they don't need an account, an app, or a password to fill it in and sign.
Which Australian regulations does the extra-curricular activity authorisation form meet?
It is built around Reg 99 and Reg 168(2)(f) of the Education and Care Services National Regulations. Reg 99 covers children leaving the education and care service premises. Reg 168(2)(f) covers policies for delivery and collection of children. Every question the regulations require is already on the form.
Is the extra-curricular activity authorisation form the same as an extra curricular activity permission form?
Yes. Different services use different names for this form — it is also called extra curricular activity permission form and outside activity consent form. They all describe the same record, and this template covers it. You can rename it to whatever your service already calls it.
Can I change the questions on the extra-curricular activity authorisation form?
Yes. The template comes with 18 fields ready to go, but you can add, remove, reword or reorder anything in the drag-and-drop form builder, and add your own conditional logic and signing steps. Your changes only affect your service's copy.
Is the extra-curricular activity authorisation form free?
Yes — the extra-curricular activity authorisation form is free to use on the Childcare Forms free plan. No credit card is required to create an account and start sending it.
Ready to use it?
Create a free account, change anything you want, and send it to your first family. No credit card needed.