PARENTAL CONSENT FORM

"CYBER BUSTERS"

Date:  ...................................................................

Dear Parent/Guardian,

A local Theatre In Education Company, Class Act Theatre Inc., will be presenting a show called "CYBER BUSTERS" for our

year ........... students on: .......................................

The play explores all facets of electronic bullying.

The cost per student will be: $............

We really appreciate your support in tackling this important issue together. Class Act Theatre Inc. is not affiliated with any Government Agency and is totally self-funded.

Please give us your approval by ticking the box below and returning this form by:

......................................................................

                Yes, I wish my child to attend "CYBER BUSTERS"

Signed: ...........................................................................................