CONSENT FORM - West Coast Park Picnic

(Kindly return this form by Friday, 15th January, 2010)

I, (full name) ____________________________________________________ Father / Mother / Guardian * of

(child’s name) _________________________________________ of Playgroup / Nursery / Kindergarten /Student Care* class

Permit

DO NOT Permit

my child to participate in the following excursion :

Date : 29th January, 2010 (Friday)
Time : 8.30am to 12.30pm
Venue : West Coast Park
Cost : $8.00 per child

Things to bring : School T-Shirt, cap, water bottle, good walking Shoes and Socks

I understand that the school has taken all necessary procedures to ensure the safety of my child. In case of any accidents or injury to my child, I will not hold the school and its staff responsible.