Walk Home Authorisation Form
About the Walk Home Authorisation Form
A digital walk home authorisation form that allows parents to provide written consent for their child to leave the education and care service and walk home independently. Designed to meet the requirements of Regulation 99 of the Education and Care Services National Regulations, which states a child may only leave the premises in accordance with written authorisation of a parent or authorised nominee. This form captures the walking address, permitted days, departure time, date range, and parent signature.
Also called
- Permission to walk home form
- Self sign-out authorisation
- Walk home consent form
What's on this form
Every question included in the walk home authorisation form. Add, remove or reword any of them in the form builder.
Form questions
Child Details
Child details
Address Child Will Be Walking To
Long answer
Start Date
Date
End Date
Date
Earliest Time Child Can Walk Home
Time
Latest Time Child Can Walk Home
Time
Days that child can walk home on
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
Days
Specific Instructionsoptional
Long answer
Parent / Guardian Authorisation
I give permission for the service to sign my child/ren out of the service and for my child/ren to walk home by themselves.
Parent/Guardian Signature
Signature
Australian regulations this form supports
The walk home 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 walk home authorisation form is part of these jobs — each guide walks through the whole sequence and the other forms that go with it.
Enrolling a child: the forms you need
The enrolment record itself, plus the booking, emergency contacts, medical conditions and standing authorisations that go with it.
Forms parents and guardians fill in
Every form you send out to families — enrolment, permissions, collection arrangements, medication authority and feedback.
Questions about the walk home authorisation form
What is the walk home authorisation form used for?
A digital walk home authorisation form that allows parents to provide written consent for their child to leave the education and care service and walk home independently. Designed to meet the requirements of Regulation 99 of the Education and Care Services National Regulations, which states a child may only leave the premises in accordance with written authorisation of a parent or authorised nominee. This form captures the walking address, permitted days, departure time, date range, and parent signature.
Who fills in the walk home authorisation form?
The walk home 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 walk home 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 walk home authorisation form the same as a permission to walk home form?
Yes. Different services use different names for this form — it is also called permission to walk home form, self sign-out authorisation and walk home 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 walk home authorisation form?
Yes. The template comes with 11 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 walk home authorisation form free?
Yes — the walk home 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.