JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Year 10 Activities Week 10 2021
Parental Permission
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Student name
*
Your answer
Parent / Guardian name
*
Your answer
I give my permission for the above named student to participate in their House Pastoral Day at Lake Ainsworth Sport and Recreation Camp on 7 or 8 December 2021
*
Yes
If, in the case of an emergency, no contact can be made with you, do you give permission for the following if required (please select for yes)
*
Anaesthetic
Hospital Treatment
Blood Transfusion
Ambulance Transport
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Catholic Education, Lismore.
Report Abuse
Forms
