MOSMAN HIGH SCHOOLPARENT OF GUARDIAN INCURSION INFORMATION & CONSENT FORM FOR

INCURSION OF ONE DAY OR LESS

Dear Parent or Guardian,An incursion has been arranged for one of the classes in which your daughter/son/ward participates. The details are set out below. Could you please complete the lower portion of this form and return it to the teacher in charge by the date shown. Thank youS WYATT HEAD TEACHER/TEACHERPRINCIPAL

SUBJECT AREA: DRAMA EXCURSION NAME: Shakespeare Workshop. Please see below. AIM(S) OF INCURSION:… Shakespeare AppreciationINCURSION DATE(S): ... Tuesday Dec 7 9 -12pmThe group will be supervised by: J.Feros

COST : $50 To make payment online (www.mosman-h.schools.nsw.edu.au) Quote the following number in the Description Field ……44362….

PLEASE DETACH & RETURN WITH PAYMENT (if applicable)

I hereby consent to …………………………………………… (Name), participating in an incursion to ………………………………………………………… on …………………………SPECIAL NEEDS OF MY CHILD of which you should be aware (eg allergies, medications – please provide full details):………………………………………………………………………………………………………………………………………………………………

SIGNATURE OF PARENT/GUARDIAN: …………………………………………… DATE: ………………………………………………..