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SMIS - STARGAZING ACTIVITY - CONSENT FORM 2025

This document is a permission slip for a stargazing activity at Stella Maris International School on 7th March 2025. Parents must provide consent for their child to participate, acknowledge the school's non-responsibility for unforeseen incidents, and arrange transportation home. Additionally, parents need to provide emergency contact information, medical details, and payment for participation.

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Jia-Yi n Jia-Wern Ho
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26 views2 pages

SMIS - STARGAZING ACTIVITY - CONSENT FORM 2025

This document is a permission slip for a stargazing activity at Stella Maris International School on 7th March 2025. Parents must provide consent for their child to participate, acknowledge the school's non-responsibility for unforeseen incidents, and arrange transportation home. Additionally, parents need to provide emergency contact information, medical details, and payment for participation.

Uploaded by

Jia-Yi n Jia-Wern Ho
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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PERMISSION SLIP

Stargazing Day
Please return to school by 21st February 2025

To Principal,
Secondary Wing
Stella Maris International School
No.7, Lorong Setiabistari 2
50490 Kuala Lumpur.

Jia-Yi
I, the undersigned, give permission for my child, ________________________, from class
________________________
10 John to participate in the stargazing activity at Stella Maris International
School on 7th March 2025 (Friday).

I understand that while every reasonable precaution will be taken to ensure the safety of my
child/children, the school shall not be held responsible for any unforeseen mishap, whether
occurring prior to, during, or subsequent to the actual conduct of the said event/activity.

I understand that my child will remain at school until 10 PM and that I am responsible for
arranging transportation back home.

Emergency Contact Information:

Wong Meng Yean


●​ Name: _______________________________

Guardian/Parent
●​ Relationship: _________________________

●​ Phone Number: ________________________


012 308 3636

Medical Information: Please list any allergies or medical conditions the school should be aware
of:
________________________________________________________________________________

Please tick:

I have enclosed the correct amount in cash to pay in order to participate. I understand this amount
is not refundable. (RM 30 per student)
Kindly tick one of the two options for a meal and dessert.

Meal McDonald: McChicken + Fried Chicken


McDonald: Nasi Lemak McD + Fried Chicken

Dessert Corn
Apple pie

Signed (Parent/ Guardian’s Signature) _________________________

Name of Parent/ Guardian ___________________________

Date: ________________________

*Please scan and email a copy to [email protected] and


[email protected] to further authenticate the parent’s signature.

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