Unaccompanied Permission - National Performing Academy

PERMISSION FORM

Permission to Leave Unaccompanied

Please complete this form to give permission for your child to leave NPA unaccompanied.

Student 1 Details

Student 1 Full Name

Student 1 Date Of Birth

☐ I give permission for Student 1 to leave NPA unaccompanied.

I give permission for Student 1 to leave NPA unaccompanied.

Student 2 Details

Student 2 Full Name

Student 2 Date Of Birth

☐ I give permission for Student 1 to leave NPA unaccompanied.

I give permission for Student 2 to leave NPA unaccompanied.

When does this permission apply?

Every NPA Session Specific date(s) only (see below)

Specific date(s):

Parent/Guardian Details

Parent/Guardian Full Name

Relationship to Student(s)

By submitting this form, I confirm that I am the child’s parent/legal guardian (or have authority to give this permission) and authorise NPA to release the child named above without collection on the dates specified.

By submitting this form, I confirm that I am the parent/legal guardian of, or have authority to give permission for, the student(s) identified above, and authorise NPA to release each student for whom I have given permission above without collection, in accordance with the dates selected.

PERMISSION FORM

Permission to Leave Unaccompanied

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