COOMERA STATE SCHOOL Dreamworld Parkway Coomera Qld 4209 Phone: (07) 5519 6333 Fax.: (07) 5519 6300 firstname.lastname@example.org Internet: www.coomerass.eq.edu.au Acting Principal: Chris McMillan Deputy Principal: Mary McCallum Deputy Principal: Andrew Schumacher Deputy Principal: Shiree Salazaar HOSES SEU: Kerrin Donaldson (acting) Head of Curriculum: Anne Hansford ***PARENT INFORMATION TO KEEP**** INFORMATION AND CONSENT Japanese Lunch 21st October Dear Parent/Caregiver, As part of our Japanese language program we have arranged a culminating activity for students. Students will be able to order a Sumo O-Bento lunch. This is a restaurant that specialises in lunches for students. This is a great opportunity to try and taste food from another culture. Your child’s participation is subject to your permission and payment. Details of the lunch are outlined below: Date of Activity: Friday 25th November Time: 2nd break Additional Information: Students can select one meal from the menu below. A. Primary O-Bento- Chicken teriyaki, fried noodles, rice, spring roll, salad and pickles $6.50 B. Primary Sushi O-Bento- Chicken teriyaki, 2 cucumber sushi rolls, fried noodles, rice, spring roll, salad and pickles $7.00 F. Katsudon O-Bento- crumbed pork cutlet with egg and sauce, 3 cucumber sushi rolls, rice, spring roll, salad and pickles $8.00 G. Sushi Box- 6 cucumber sushi rolls and 3 chicken teriyaki sushi rolls $6.00 Please complete the form on next page as soon as possible and return to the office upon payment. Yours faithfully Mary McCallum Rachel Lornie Deputy Principal LOTE Teacher Coomera State School strives to develop the individual members towards their full potential. PLEASE RETURN THIS FORM, PAYMENT TO THE OFFICE BY Friday 11th November. ***RETURN TO SCHOOL OFFICE **** INFORMATION AND CONSENT Japanese lunch 1. I give permission for _______________________________in ________ to participate in the (Full name) (Class) Japanese lunch on Friday 25th November. I will fulfil the resource requirements for the activity. _________________________________ ____________________________________ Parent/Caregiver’s Name Signature Parent/Caregiver Menu Selection: A,B,F,G ________________ * * * * * * * * * * * * * Payment Options INTERNET TRANSFER Student’s Name: __________________________________ Class: _______ Reference Code: EJAL Amount Paid: _________ Menu Option: __________ eg. A,B,F,G Transfer Reference/Confirmation: ___________ Date Transferred: ____________ Signature: _________________________________ School Bank Details: BSB: 064-430 Account Number: 00090286 Account Name: Coomera State School General Account Transfer to show: Student Name: Class: Reference Code eg: Billy Smith:1AB:EEEE CREDIT CARD PAYMENT Student’s Name: ___________________________________ Class: ____________ Amount Paid: ________________ Menu Option: __________ eg. A or G Reference Code: _________________ Name on Credit Card: ______________________________________ Card Type: Visa Bankcard MasterCard American Express/Diners Club not accepted Credit Card Number: ____ ____ ____ ____ Expiry Date: __ /__ Signature on Card: _____________________________ FINANCE WINDOW PAYMENT Finance Window Open: Monday, Wednesday, Friday 8:15am – 9:30am Coomera State School strives to develop the individual members towards their full potential.
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