Consent for Year 6 Theatre visit

Please complete all fields marked (*)

Your first name *

Your last name *

Your email *

Child's Last Name *

Child's Class *

6CW

6NH

6NJ/DW

I give my permission for my child to attend the evening theatre performance *

YES

NO

Child's First Name *

My child will be collected from the coach outside the school gates by: Please state full name of the person collecting. *

Emergency Contact Number *

Child's First Name *