Sorry, responses are no longer being accepted.
The cut off date was Thursday 17 February 2022.
Student Name: | Parent Name: | Parent Email: |
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s name | p name | p email |
Please answer the following questions:
Please answer YES or NO to this question
Please answer YES or NO to this question
Please provide a short answer to this question
Please provide a long answer to this question
$0.00 |
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$0.00 |
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$0.00 |
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Pick your options
Please enter your child's name (first and last name) (required)
Please submit a separate form for each of your children that this form is applicable to.
Please enter your email address (required)
Please enter your name (first and last name) (required)
Do you grant permission for your child to take part in the events and/or activities described in this permission slip? (required)
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$0.00 |
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Total amount payable:
$0.00
(You will be prompted to pick a payment method after you click SUBMIT)
Payment Method: | |
POLi Reference: | |
Bank: | |
Account Name: | |
Account Number: |
Please put child's name and activity/event name in reference when paying online.
Event/Activity Name: | |
Event/Activity Date: | |
Child's Name: | |
Parent/Guardian's Name: | |
Parent/Guardian's Email: | |
Permission Granted: |
________________________ | ________________________ | ________________________ | ____________ |
Child Name | Parent Name | Parent Signature | Date |
________________________ | ____________ | ||
Student Signature | Date |
Sign here:
Second Signature: