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LEAVE PASS FORM FOR STUDENTS

For SIDE students who attend SIDE regularly and leave during the school day.

This form must be completed if your child:

- Attends SIDE Leederville regularly, and

- Leaves SIDE during the school day.

Legislation requires SIDE to ensure all part time student attendances are documented and passes provided to students leaving our school site.

Student Name*

School year*

ATTENDANCE INFORMATION

Should you have any questions as to the day or times your child will attend SIDE each week, or are unsure if this pass is required for your child, please contact the Student Services Support Officer on 9242 6867.

Day of Attendance at SIDE*

Start Time*

End Time*

Destination on Leaving SIDE*

Transport Details*

ACKNOWLEDGEMENT

- SIDE is not responsible for any injury that occurs to my child or for my child's misconduct away from SIDE.

- When SIDE receives this form a student pass will be issued to your child. This pass must be available to be presented to a Department of Education attendance officer, a police officer or a Transperth transit officer.

- Should there be a change to this information for any reason a note from a parent/caregiver will be required to ensure duty of care arrangements are in place.

Signed:

Full name:*

Today's date:*

Date of Birth*

- If other days, provide details: