PARENTAL CONSENT FORM – Old Trafford trip 4th June 2010

Organisation: Action Kids Courses

ACTIVITIES JOURNEYS INCURRED

Old Trafford trip Birkenhead Park Cricket Club return.

I agree to my son/daughter………………………………………………(print name)

Taking part in the above-mentioned visit and agree to his/her participation in the activities taking
part inside the ground. I acknowledge the need for obedience and responsible behavior on his/her
part at all times during the day.

Signed: ……………………………………………………...……….(Parent/Guardian)

NAME: …………………………………………………… (please print) DATE: ………………

Childs mobile number: ……………………………….………………………………………….

Parents contact number/s for the day: (please print)

Home: ………………………………………… Work: …………………………………………

Mobile: …………………………………………………