HS210 Home-based Parental Permission Excursion Form

Clear consent. Shared responsibility. Licensing-ready documentation.

The HS210 Home-Based Parental Supervision Excursion Form is a simple, practical document designed to clearly record arrangements where parents or whānau are supervising their own child during an excursion, in line with licensing criterion HS210.

This form helps services clearly document supervision responsibilities, ensuring expectations are explicit, understood, and defensible. It supports transparency for educators, coordinators, and parents, while providing strong evidence during licensing visits or audits.

What this form supports

• Clear identification of the excursion and supervising parent/whānau member

• Documentation of agreed supervision boundaries and expectations

• Acknowledgement from parents that they have signed the Excursion specific RAMS, and understand supervision arrangements

• Clear records retained for compliance and audit purposes

Why this document works

• Aligned with HS210 – clearly demonstrates how parental supervision is managed

• Reduces ambiguity and risk – roles and responsibilities are explicit

• Purpose-built for home-based services – not adapted from centre-based forms

• Quick and easy to complete – practical for real-world excursions

Ideal for

• Home-based ECE providers

• Coordinators managing excursions with parental supervision

This form ensures parental supervision during excursions is clearly agreed, properly recorded, and fully aligned with licensing requirements—supporting safe practice and confident compliance.