Responsible Person Sign On Form

Name of educator signing on as Responsible Person (required)

Are you signing on or off as Responsible Person? (required)
I am signing on as Responsible PersonI am signing off as Responsible Person

At which AGA Center are you signing on or off as Responsible Person (required)
AFL Centre, WodenNorthside Centre, LynehamGold Creek Centre, GungahlinEagle Vale Center, CampbelltownOther

Date you are signing on or off as Responsible Person (required)

Time that you are signing on or off as Responsible Person (required)

If you are signing off as Responsible Person, who is taking over as Responsible Person? (if you are closing the Center, write 'Closing') (required)

Please sign in the box using your finger or mouse (required)