NATIONAL JUNIOR COLLEGE

CONSENT FORM
To: Parents/Guardians,
1. Outdoors Activity Club will be will be organizing the following activities and we
seek your consent to allow your child/ward ___________________ to attend the
activity.
S/
N
1

Activity

Venue

Date

Rock
Climb
Asia
at
60 12
Climbing Tessensohn Road c/o Civil Novembe
SNCS Sport Service Club
r 2016
Climbing
Course
Level 1

Time
10.00am to 5.00pm

2. Please complete the reply form attached below by 7 Oct 2016 .

Thank you.

Teacher In-Charge: Er Yinghui Junice

Date: 15 September 2016

-----------------------------------------PLEASE CUT HERE ------------------------------------------REPLY FORM

To: Teacher In-Charge
1. I have received and read the notification dated 15 SEP 2016 and the contents
are noted.
Name of Parent/Guardian : ____________________________________________
Relationship to Student: *Father/Mother/Guardian
Contact Number: _______________
Signature: _______________________
*Delete where applicable

Date:____________________

Name of Student: ____________ NRIC: ____________