St. Luke's Academy

Inspiring Excellence

St. Luke's Academy

Consent Form for Collection of students from St. Luke's Academy


The named adults below have my authorisation to collect my child from St. Luke’s Academy in my absence. I request (fill in below) security decals which I agree to return once my child/ward in no longer enrolled at St. Luke’s Academy. Two (2) stickers are complimentary $5 for each addtional decal sticker.

Student Collection Form
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Name of Student
My Chosen password for person not listed above to collect my child/ward is:

It is parents/guardians reponsibility to inform St. Luke's Academy to any change that may occur to the authoised person collection and/or to any change required to the password. I agree to update St. Luke's Academy Administrators with any changes.

Mother/Guardian Name
Father/Guardian Name