Excursion Permission Form- YMCA Hamilton (Gray St) OSHC Hamilton art gallery 11/07/2025

Excursion Permission Form

YMCA Hamilton (Gray st) OSHC Hamilton Art Gallery, 107 Brown St, Hamilton 3300
Service Name: YMCA Hamilton (Gray St) OSHC

Date of Excursion: 11/07/2024
I give permission for my Child/ren to attend the excursion to Hamilton Art Gallery on 11/07/2025
Child's name

First NameLast Name
Child's name

First NameLast Name
Child's Name

First NameLast Name
Child's name

First NameLast Name
The purpose of the excursion: Children will be going on a guided tour at the Hamilton Art Gallery and then attend the Galerries sensorium program that involves an immersive sensory experience

The method of transportation will be: Walking

The anticipated number of children attending this excursion is: 24

The child/ren will be away from the service during these times 2:15pm- 4:15pm Times are subject to change.

There will be __2__ Educators attending the excursion, ensuring an educator/child ratio of 1/12.

Please see attached Risk Assessment and map with travel route.

I acknowledge I have received and read the risk assessment and give permission for the above child/ren to attend the excursion as per the details above. *
Date

DayMonthYear
Date
Parent Name

First NameLast Name
Signature

Clear
Should be Empty: