Author: Ministry of Education

(Permission Slip - To be handed back to Mr Riley Room 6)

4 Longmore Lane, Silverdale North 0932 , PO Box 538, Silverdale 0944
Phone (09)4265510 Fax (09)426 2397 Email: office@silverdaleprimary.school.nz

Year 5 & 6 Soccer Zone Day
Dear Parent / Care giver,
Your child ___________ has been selected to compete in the year 5 & 6 soccer interschool at Stanmore Bay Soccer Grounds on Thursday 30th of April from 9.00am—2.00pm.
We will be taking 2 teams and will need assistance with transporting the children to and from the venue and supervision of the teams at the venue. The cost to attend is $3.00 per child. If you are able to help out in any of the above capacities, please complete the form below.
Your child will need to bring:
P.E uniform, cleats, warm clothing, along with a water bottle, a packed morning tea and lunch, sun block and a wide brim hat.
We are expecting to depart school by 8.45am, with the day starting approximately at 9.20am. The day is expected to end by 2.00 pm.
Please complete the slip below and have your child hand it to Mr Riley in Room 6.
Regards
Woody Riley
Yr 5-6 Sports co-ordinator
woodyriley@silverdaleprimary.school.nz
___________________________________________________________________________________________________
I give permission for ___________________ of Room _____ to attend the soccer zone day.
My child suffers from ________________, medication for this can be found ____________________________
I am able / not able to help transport children to and from the venue.
I am able / not able to help supervise on the day.
I have/have not included the $3.00 to cover costs.
I am able to transport ________ children in seatbelts.
My car has a current WOF, Expiry date __________ My car registration is current, Expiry date ________
I have a current drivers licence, Expiry date___________
Signed: ________________________ Name: _________________________
Mobile phone number : ________________