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Change of family details and authorisations form

This form should be completed whenever your family or authorisation details change.

Family details and authorisations form

Educator details
For example – jane.doe@gmail.com
Family details
For example – jane.doe@gmail.com

What information would you like to change?

Update your details or authorisations
Name change

Please contact your scheme office to discuss your name change process and requirements.

Mobile number change
for example – 0412 543 876
for example – 0412 345 678
Address change
For example – 123 Flinders Ave
For example – Adelaide
For example – 5000
Emergency contacts authorisation

Add or remove authorisation to be contacted in the event of an emergency if you cannot be immediately contacted.

An emergency contact is a friend or relative who can be contacted in case of an emergency if you are not contactable.

Adding details of emergency contacts
Adult 1
For example – jane.doe@gmail.com
For example – 0412 345 678
For example – 123 Flinders Ave
For example – Adelaide
For example – 5000
Adult 2
For example – jane.doe@gmail.com
For example – 0412 345 678
For example – 123 Flinders Ave
For example – Adelaide
For example – 5000
Adult 3
For example – jane.doe@gmail.com
For example – 0412 345 678
For example – 123 Flinders Ave
For example – Adelaide
For example – 5000
Adult 4
For example – jane.doe@gmail.com
For example – 0412 345 678
For example – 123 Flinders Ave
For example – Adelaide
For example – 5000
Details of emergency contacts you are removing
Adult 1
Adult 2
Adult 3
Adult 4
Drop-off and collection authorisation

Add or remove authorisation to drop off and collect your child or children on your behalf.

If any of your contacts don't have a mobile phone or email address, please use your details.

Adding details of drop-off and collection contacts
Adult 1
For example – jane.doe@gmail.com
For example – 0412 345 678
For example – 123 Flinders Ave
For example – Adelaide
For example – 5000
Adult 2
For example – jane.doe@gmail.com
For example – 0412 345 678
For example – 123 Flinders Ave
For example – Adelaide
For example – 5000
Adult 3
For example – jane.doe@gmail.com
For example – 0412 345 678
For example – 123 Flinders Ave
For example – Adelaide
For example – 5000
Adult 4
For example – jane.doe@gmail.com
For example – 0412 345 678
For example – 123 Flinders Ave
For example – Adelaide
For example – 5000
Details of drop-off and collection contacts you are removing
Adult 1
Adult 2
Adult 3
Adult 4
Consent for medical treatment or administer medication authorisation

Add or remove authorisation to consent to medical treatment and authorise administration of medication to your child or children on your behalf.

Adding details of medical consent contacts
Adult 1
For example – 0412 345 678
For example – 123 Flinders Ave
For example – Adelaide
For example – 5000
Adult 2
For example – 0412 345 678
For example – 123 Flinders Ave
For example – Adelaide
For example – 5000
Adult 3
For example – 0412 345 678
For example – 123 Flinders Ave
For example – Adelaide
For example – 5000
Adult 4
For example – 0412 345 678
For example – 123 Flinders Ave
For example – Adelaide
For example – 5000
Details of medical consent contacts you are removing
Adult 1
Adult 2
Adult 3
Adult 4
Consent for excursions with your educator or educator assistant authorisation

Add or remove authorisation to consent for your child or children to be taken outside the education and care service premises with your educator.

Adding details of excursion consent contacts
Adult 1
For example – 0412 345 678
For example – 123 Flinders Ave
For example – Adelaide
For example – 5000
Adult 2
For example – 0412 345 678
For example – 123 Flinders Ave
For example – Adelaide
For example – 5000
Adult 3
For example – 0412 345 678
For example – 123 Flinders Ave
For example – Adelaide
For example – 5000
Adult 4
For example – 0412 345 678
For example – 123 Flinders Ave
For example – Adelaide
For example – 5000
Details of excursion consent contacts you are removing
Adult 1
Adult 2
Adult 3
Adult 4

Parent or carer acknowledgement

Acknowledgement statement

By submitting this form, you:

  • confirm that you are the authorised person to update the details above for your child or children
  • declare all information to be true and correct on 18 May 2022.

Contact

Family Day Care BCSC

Phone (metro): 8343 6533
Phone (country): 1300 551 890
Email: educationfdcbusiness [at] sa.gov.au

Central group of schemes main office

Phone: 8416 7400
Email: education.centralfdc [at] sa.gov.au

North group of schemes main office

Phone: 8207 9100
Email: education.northfdc [at] sa.gov.au

South group of schemes main office

Phone: 8207 3657
Email: education.southfdc [at] sa.gov.au