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Christian
Brothers Primary School, Wexford CONSENT
FORM TO LEAVE SCHOOL DURING LUNCH TIM SCHOOL YEAR
____________
NAME OF PUPIL ____________CLASS ______ROOM NO. _______
SECTION 1
The
Pupil named above has permission to leave during school lunch time (12.45
– 1.15.p.m.) on the following day(s) Monday o
Tuesday o
Wednesday o
Thursday o
Friday o
Signed_______________________
(Parent/Guardian)
SECTION 2
The
pupil named above does not have permission to leave school
during lunch time (12.45-1.15p.m.) Signed
___________________(Parent/Guardian)
SECTION 3
The
pupil named above may leave school at lunch time (12.45-1.15p.m.) on
particular days during the year. Permission
will be given by way of a note. Signed
_____________________(Parent/Guardian)
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