Ngunnawal SUPA Club Permission Slip

Child/rens name/s:

1.________________________________________

Class:___________________ Age:__________________

2.____________________________________________

Class:_________________   Age:___________________

3.____________________________________________

Class:_________________   Age:___________________

Special needs/dietary needs or allergies?

…………………………..…………………………………………….

I give permission for photos to be taken of my child/children during SUPA Club for SU to use for promotional purposes  Yes  No

I give permission for my child/children to be gifted a bible or other Christian resources  Yes  No

Mobile Phone: 04-  _____________________________

Parent/Guardian: ____________________________

Signature: ____________________________________

This permission note will be valid for the duration of the student’s time at Ngunnawal Primary School. If a parent or guardian no longer wants their child to attend SUPA Club,

please contact the school.