I give permission for my child …………………… to take part in activities by sdfsb346f

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									I give permission for my child …………………… to take part in activities that include local visits during
school hours.

My son/daughter is in good health and I consider him/her fit to take part. In the event of an accident or illness I
consent to any medical treatment which may include the use of anaesthetics.


Date of last known ANTI- TETANUS- INJECTIONS GIVEN: …………….........………………………………


Name: ………………………………………………………………………………


Address: ……………………………………………………………………………


Tel No: ……………………………………………………………………………….


Please complete with any relevant information concerning your child’s health.


Date: …………………………............... signed: ……………….

                                                       Parent / Guardian

								
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