School Absence Permission Form

The child named below is involved in our forthcoming production:

Excalibur by The Man In The Moon at The Electric Theatre from 18 to 22 December 2013

Body of Persons
The above production will be covered by a Body of Persons Licence from Surrey County Council. As some of the rehearsals/performances require absence from school (detailed below) we are required to provide proof that the child's school is happy with this. I give permission for (name of child) Who is in: The Blue Team The Yellow Team

to be absent from school to be able to be at the theatre on the following dates/times: Wednesday 18 December Thursday 19 December Friday 20 December 10.00am to 3.00pm 4.00pm to 9.00pm 3.30pm to 6.00pm 3.30pm to 6.00pm Blue Team Yellow Team Yellow Team Blue Team Dress Rehearsal Dress Rehearsal 4.30pm Performance 4.30pm Performance

for rehearsals and performances of Excalibur at The Electric Theatre, Onslow Street, Guildford. Head Teacher Signature Date

Please return this form directly to the child named above. Please do not return it to The Man In The Moon, The Electric Theatre or Surrey County Council

School Stamp (must be stamped to validate permission) If you have any questions about a Body of Persons Licence, please contact: Surrey County Council Child Employment Team Quadrant Court, 35 Guildford Road, Woking GU22 7QQ Telephone: 01483 517838 If you have any questions about our production, please contact: The Man In The Moon, Passfield Business Centre, Lynchborough Road, Liphook GU30 7SB www.themaninthemoon.co.uk Telephone: 01428 751656

09/13