With this confirmation I state that I, the undersigned allow _________________________________ student in Class________ to participate in the weekend workshop (20th and 21st March 2010) of the English School “Active Citizenship” Society at Cypria Bay Hotel, Paphos.
Name of Parent/Guardian: _________________________________
Student’s mobile phone number: ____________________
Home telephone number: ____________________
Is the student a member of the “Active Citizenship” Society?YES
NO
Date: ______________________________
__________________________
Signed: Father/Mother/Guardian
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