Build a bear reply slip Jan 2015

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Reception Trip To Build a Bear Factory Reply Slip

I give permission for my child ______________________________________

In class __________________ to attend the trip to Build a Bear Factory on

27 th January 2015

I enclose a voluntary contribution of £3.45 _______

I am registered as a DBS cleared volunteer and I would like to help supervise the trip.

Yes / No.

Please speak to your child’s class teacher if you would like to help on this trip.

I will provide my child with the items listed in the teachers’ letter.

My child will need the following medication on the trip which will be handed to the teacher in a named envelope with clear instructions for administering written on the envelope.

Emergency contact numbers for the day are as follows:

1. Name ______________________‘Phone number _____________________

2. Name ______________________ ‘Phone number ____________________

3. Name ______________________ ‘Phone number ____________________

Any special dietary / medical or additional needs or other information relevant to this trip:

Signed ___________________________________ Date ________________

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