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SECTION A - (Compulsory)
SECTION B - Medical Conditions

Are there any Medical Conditions we need to know about?

Please select and fill out additional information as required.

Immunisation Status

Please indicate the applicant’s immunisation status by typing in the box their age when they received the most recent vaccination.


1.    I give permission to disclose this information to appropriate staff.

2.    I consent to my daughter receiving Panadol or Antihistamine.

3.    Medications for students may be kept at the Sick Bay.

4.    Please note that if an ambulance is called, St John’s will bill parents directly.

5.     Therefore it is the parents responsibility to pay any costs incurred.

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