Cairns Consent to Attend Form | Enso Support Assistants

I,Organisation: Print name and position

OfOrganisation: Print daycare / school

Consent for Cairns Allied Health Assistant to attend our facility to conduct therapy supports as requested by:Print parents / guardian name

For participant/student

Organisation to sign:

Name

Position

Signature

No file chosen

Please sign your signature on a piece of paper, take a photo and upload here

Date

Participant name

Parent / Guardian Name

Signature

No file chosen

Please sign your signature on a piece of paper, take a photo and upload here

Date