Permission note template

School
emblem

____________ Public School

Address: _______________________________________

Phone: __________________ Fax: ______________ E-mail: ______________________

Website: ________________________________________

Principal: _____________________

Dear parent/caregiver,
Students in _____________ will be going on an excursion to Wirrimbirra, Flora & Fauna Sanctuary on
________________________________.
The cost of the excursion is $

per student.

The students will depart from school at 9.15am and return to school by 2.45pm. Travel will be by bus.
Students are to wear house colours or sports uniform. They are also to bring sun block, hat, drink bottle,
recess and lunch.
___________________________
(Class teacher)

----------------- Please detach and return to school by ___________________ ----------------------I do / do not consent to ................. participating in the Excursion to Wirrimbirra
Flora & Fauna Sanctuary at Bargo on ______________________________. My son / daughter has the
following special needs (please provide full details and include any relevant medical details if different to
information already supplied to the school).

The best emergency contact on the day is ______________________ on __________________ (Phone)

(Name)
Signature_______________________________
Date _________________

HELP NEEDED!
PARENT VOLUNTEERS:
I am willing to help on the day. Times available: All day or:

_______ to _______ .

Permission note template

Name __________________________________