LABURNUM PRIMARY SCHOOL

Excursion Levy 2014

Term 4 – Grade 4

We are offering 2 payment options for this term’s excursion. Please tick your preferred option and return both pages to the classroom teacher. Remember to keep the bottom section of page 2 that outlines the dates for all excursions for your records.

Whichever payment option you choose payment must be received by the due date for your child to attend any excursion/incursion.

  • OPTION 1Excursion Levy Payment In Full:

If you choose this option, payment is made for all the term’s excursions in advance, Payment and forms due by 13th October 2014

  • OPTON 2Individual Payments For Each Excursion

If you choose this option then you will need to make an individual payment for every excursion 1 week prior to each excursion, please see ‘due by dates’ for payments over the page. Forms due by 13th October 2014. Payment deadlines overleaf.

STUDENTS NAME:______GRADE______

PARENT’S SIGNATURE: ______

Over the phone,

PAYMENT DETAILS:Cheque Cash C/Card at the office or

the form below

BPayEFTPOS Available only

allow 2 days at the office to clear

EXCURSION/ INCURSION LEVY TERM 4 – GRADE 4

Term 4 Excursion / Incursion Levy for Grade 4students: – TEACHER COPY

Cost / Payment Due for Option 1
If paying in full the excursion levy is / $3.00 / 13th October
Excursion / Incursion Title / Excursion / Activity Date / Cost / Payment Due
For Option 2
Physical Education/Health/Dance / From 6th October to
7th November / $3.00 / N/A

I give permission for my child ______in grade ______to attend the incursions/s and excursion/s listed above. I authorise the teacher in charge, where it is impractical to communicate with me, to administer first aid and consent to my child receiving such medical or surgical treatment as may be deemed necessary in an emergency. .

Signature of Parent/ Guardian / Preferred Emergency Contact Number:

______

Term 4 Excursion / Incursion Levy forGrade 4students: – OFFICE COPY

Cost / Payment Due for Option 1
If paying in full the excursion levy is / $3.00 / 13th October
Excursion / Incursion Title / Excursion / Activity Date / Cost / Payment Due
For Option 2
Physical Education/Health/Dance / From 6th October to
7th November / $3.00 / N/A

I give permission for my child ______in grade ______to attend the incursions/s and excursion/s listed above. I authorise the teacher in charge, where it is impractical to communicate with me, to administer first aid and consent to my child receiving such medical or surgical treatment as may be deemed necessary in an emergency.

Signature of Parent/ Guardian / Preferred Emergency Contact Number:

…………………………………………………………………………………………………………………………………………………………………….

EXCURSION/ INCURSION LEVY TERM 4 – GRADE 4

PARENTSmust retain this BOTTOM section for your records.

Dear Parents,

Outlined below are the excursions and incursions planned for all children in Grade 4for Term 4, 2014. The relevant dates and costs for these events have been indicated and further details will be forwarded by the teachers closer to the event.

Cost / Payment Due for Option 1
If paying in full the excursion levy is / $3.00 / 13th October
Excursion / Incursion Title / Excursion / Activity Date / Cost / Payment Due
For Option 2
Physical Education/Health/Dance / From 6th October to
7th November / $3.00 / N/A

Please complete BOTH SECTIONSof the form above and return them to your child’s class teacher.

PAYMENT DEADLINES*:

  • OPTION 1: DUE BY 13th October 2014
  • OPTION 2: Please see individual dates

*Unfortunately attendance cannot be guaranteed for students if payment has not been made by the deadline.