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Sporting excursion consent form

Please print then fill out the form below and send it in to school with your child, to enable them to attend the scheduled sporting activity.

I give permission for my child ______________________________________ to represent

the school in _____________________________________ on the following date

____________________ at the following venue_____________________________

Special needs including medical considerations and dietary information for my child include:

_________________________________________________________________________________

_________________________________________________________________________________

Parent / Caregiver Signature______________________________

Date__________________________________________________