STEM Club Consent Form

This form is to be completed by students who have received an invitation to Senior STEM Club.

This is NOT an application to join the club.

Student Name(Required)

First Last

Room Number(Required)

Parent/Carer Consent(Required)

I give permission for my child to attend STEM Club 2023. The club runs on Thursdays 3:00 pm to 4:00 pm when school is on.

Please list any additional information the club mentors may need to be aware of such as medical conditions and food allergies. Additional information regarding alternative collection arrangements may be written below..

Parent /Carer Name(Required)

First Last

Contact Number

Please provide the best contact number for Thursdays.

Parent / Carer Signature(Required)

STEM Club Consent Form

STEM Club Consent Form

Contact Details

120 Howick St, Lathlain, WA 6100

08 9224 9800

lathlain.ps@education.wa.edu.au

Lathlain Primary School P&C

Absent From School

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