CONSENT FORM SCHOOL DISCO – Fri 28th MARCH `14

CONSENT FORM
SCHOOL DISCO – Fri 28th MARCH ‘14
I hereby give consent for my Child / Children
Year
Class #
Friday 28th March 2014
PP – Yr 3 5.30 – 7.00pm • Yr 4 – Yr 6 7.30 – 9.30pm
$10 per ticket
What You Need To Know
 Drinking water will be available at all times.
 Children DO NOT need money for the night, we will NOT be selling lollies etc
 Children MUST be dropped off and picked up by an adult at the opening doors of the
hall
 Payment must be made in advance, NO TICKETS will be sold on the night
 Only Atwell Primary School Students may attend
 A contact number for the night must be supplied
 The only adults allowed in the hall during the disco are the volunteers
The disco will only take place if we have enough volunteers for the evening, if you are
able to help, please state so on the permission slip below.
to attend the Atwell Primary School P&C Disco on Friday 28th MARCH 2014.
I enclose payment of
@ $10/Ticket OR confirm
that I have purchased my tickets through the www.flexischools.com.au website.
Yes, I am able to help with the
PP – Yr 3
Year 4 – 6 Disco
(Please Tick where applicable) and understand I will be notified only if I am needed.
Phone
E-mail
I understand that there is NO injury insurance cover for injuries
sustained at this event.
Medical Requirements / Special Needs
 If your child uses an asthma puffer or an epipen, please send it along in a clearly
marked zip lock bag and give to a person in charge
 Children need to wear shoes that will not damage the hall flooring
 A copy of the P&C Disco Policy is available by request
Your Permission Slip & Money (EFT Receipt or Flexischools Order) must be
returned to the P&C Box located in the Front Office NO LATER THAN
WEDNESDAY 26th MARCH 2014
(NO EXCEPTIONS)
I
hereby give permission for my child / children to
receive medical treatment in case of an emergency.
My contact number for the evening of the disco will be
Printed Name
Signed
Parent / Guardian