Families are to complete by Friday 5 February 2021

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* 1. Parent's Names:

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* 2. Child/ren Names:

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* 3. Publicity and the use of student images: As part of the school's publicity activities there may, on occasion, arise the situation whereby the school, Catholic Education Office (CEO) or local media will need to take photographs and/or video footage of your child/ren for publication in newspapers, school documents, Loreto social media, CEO documents, training videos and/or the school/CEO website. Please answer YES or NO for your permission.

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* 4. Medical Register: If your child has a condition which you consider warrants them being on our medical register, please inform the school with up to date information:

1. Type of condition, eg asthma, allergy to bee stings.
2. Name of Doctor diagnosing medical condition.
3. Is your child on regular medication.
4. In an emergency, when parents cannot be contacted, is permission given for child to be transported by ambulance to hospital (AMBULANCE COVER FOR ACCIDENTS CAUSING BODILY INJURY ONLY). Is permission given for child to be taken to the nearest Doctor.

Please note that students who have asthma or anaphylaxis require a current Action Plan from their Medical Practitioner (with child's photo) and supplied to the school with the relevant, within date medication for the new school year.

For minor medical concerns please see your child's class teacher.

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* 5. Contact Details: Please answer YES or NO for your contact details to be distributed to other parents at Loreto.

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* 6. Personal Details: Please advise the office if any personal details in relation to, address and occupation have changed via email: admin@loretonedlands.wa.edu.au

Please provide current mobile numbers and email addresses.

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