POREPUNKAH PRIMARY SCHOOL
STANDARD STUDENT PERMISSION FORM FOR EXCURSIONS

THE FOLLOWING FORM MAY BE PRINTED AND USED FOR ANY EXCURSION
PERFORMANCE OF CAMP UNDERTAKEN BY OUR SCHOOL
PLEASE ENSURE YOU COMPLETE ENOUGH DETAIL IN THE DESCRIPTION OF
THE EVENT TO INDICATE THAT YOU FULLY UNDERSTAND THE TYPE AND
NATURE OF THE ACTIVITY. RETURN THE SIGNED FORM TO SCHOOL.

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:

  • consent to my child receiving such medical or surgical attention as may be deemed necessary by a medical practitioner
  • administer such first-aid as the teacher in charge may judge to be reasonably necessary

PARENT/GUARDIAN: __________________________ DATE: ______________
.

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