CHILD'S NAME: ___________________________________ GRADE LEVEL: _____________ ACTIVITY: ________________________________________________________ _________________________________________________________________ _________________________________________________________________ I hereby grant permission for my child to attend the above activity. I understand this activity may involve bus travel and there will be a cost for the total excursion which I agree to meet. Where the teacher in charge of the excursion is unable to contact me, or it is otherwise impracticable to contact me, I authorise the teacher in charge to:
PARENT/GUARDIAN: __________________________ DATE:
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