Taiko Drumming Years 1 – 6

Dear Parents/Guardians,

I am pleased to provide you with the following details regarding an upcoming incursion to be held at Lathlain Primary School. Your child will be able to participate in the following:

Lisa Saito

Japanese Teacher/Incursion Co-ordinator

Please sign the permission form below and make payment by Friday 2 May.

Permission Form:

Student Name(Required)

First Last

Room(Required)

Room 1Room 2Room 3Room 4Room 5Room 6Room 7Room 8Room 10Room 11Room 12Room 13Room 14Room 15Room 16Room 18Room 19Room 20Room 24

Room 1

Student Health Considerations(Required)

I agree to inform the organisers well before the scheduled incursion of any change to my child’s health and fitness so that appropriate supervision may be arranged. I acknowledge that, should it be considered necessary, school staff will arrange to present my child for medical assessment and treatment.

The medical and health information currently held by the school is correct and up to date.I must complete a new Student Health Form as the information held by the school has changed (please see office staff for a copy of the form).

Payment Options(Required)

Payment will be made via bank transfer. Direct Debit: BSB: 016 263 Account No: 340949204Payment will be made by cash or EFTPOS at the front office.

Parent/Carer Consent(Required)

I give permission for my child to receive medical treatment in case of emergency. I am aware that the school and its employees are not responsible for personal injuries or property damage that may occur during an incursion, unless the school or its employees are proven to be negligent.

I have read and understood the informatation and give consent for my son/daughter to attend.

Parent /Carer Name(Required)

First Last

Parent Email(Required)

Would you like to receive an email confirmation of your submission?(Required)

Yes

No

Parent / Carer Signature(Required)