Bangor Primary School www.bangor-p.schools.nsw.edu.au

Email: bangor-p.school@det.nsw.edu.au

P&C Meetings are held Tuesday Weeks 3 & 8 each term at 7pm in the Staffroom

Principal’s Message Welcome Kindergarten

There were a few teary eyes last Friday as mums and dads waved children

goodbye when Kinder made their way into the classroom on their first day.

The teachers have been very impressed on how settled they are during their

first week of school. We hope all the parents enjoyed the ‘My First Day’

video that Mrs Leal created for students and parents to remember starting

Kindergarten and we look forward to seeing lots of parents at the Kinder

parent BBQ on Friday 16 February at 3.45pm. Our Year 6 students have

been excellent buddies for the new Kinders and spending lots of time

supporting them in their transition into the K-6 playground. Band

Junior and Senior band will begin in Week 3 with tutorials for instruments

starting in Week 4. New band students need to return their band note that

was given out at the end of last year confirming their participation in our

band program. Students in the band program last year are not required to

return this note. Once we have received the notes we will give the new band

students their instruments. New School App

I would just like to remind parents again to download our new school app.

Please search for ‘skoolbag’ in the app store and download it. You then search

for ‘Bangor Public School’ to receive our push notifications and newsletters.

We have already had 300 downloads which will allow lots of information to be

sent to parents throughout the year. Instructions regarding the Skoolbag

app are included in this week’s Grapevine. Classes

Craig Snudden

Principal

What’s On Week 2 Value - Respect

Friday 9 February

2.10pm K-6 assembly hosted by student

leaders

Week 3 Value - Responsibility

Tuesday 13 February

7pm P&C meeting—Annual General

Meeting. All welcome

Friday 16 February

Swimming carnival at Engadine Leisure

Centre

No K-6 assembly this week

3.45pm Kindergarten Meet and Greet

BBQ

Week 4 Value - Responsibility

Friday 23 February

2.10pm K-6 assembly hosted by student

leaders

Week 5 Value - Responsibility

Monday 26 February

8.15am Groove Nation Years 3-6

commences

Tuesday 27 February

Engadine Zone Swimming Carnival

Thursday 1 March

8.15am Groove Nation Years 1-2 and

boys hip hop commences

Friday 2 March

2.10pm K-6 assembly hosted by 6S -

parents and friends invited

Week 6 Value - Integrity

Friday 9 March

2.10pm K-6 assembly hosted by 6P -

parents and friends invited

Week 7 Value - Integrity

Friday 16 March

2.10pm K-6 assembly hosted by 5H -

parents and friends invited

Week 8 Value - Excellence

Friday 23 March

2.10pm K-6 assembly hosted by 5A -

parents and friends invited

THE

GRAPEVINE

8 February 2018 – Term 1, Week 2

Bangor Public School is a White Ribbon School

The White Ribbon Oath: never to commit, excuse or remain silent about violence

against women.

Principal’s Message Welcome Kindergarten

There were a few teary eyes last Friday as mums and dads waved children

goodbye when Kinder made their way into the classroom on their first day.

The teachers have been very impressed on how settled they are during their

first week of school. We hope all the parents enjoyed the ‘My First Day’

video that Mrs Leal created for students and parents to remember starting

Kindergarten and we look forward to seeing lots of parents at the Kinder

parent BBQ on Friday 16 February at 3.45pm. Our Year 6 students have

been excellent buddies for the new Kinders and spending lots of time

supporting them in their transition into the K-6 playground. Band

Junior and Senior band will begin in Week 3 with tutorials for instruments

starting in Week 4. New band students need to return their band note that

was given out at the end of last year confirming their participation in our

band program. Students in the band program last year are not required to

return this note. Once we have received the notes we will give the new band

students their instruments. New School App

I would just like to remind parents again to download our new school app.

Please search for ‘skoolbag’ in the app store and download it. You then search

for ‘Bangor Public School’ to receive our push notifications and newsletters.

We have already had 300 downloads which will allow lots of information to be

sent to parents throughout the year. Classes

Classes and staff for 2018 are as follows:

Craig Snudden—Principal

KJ Liz Jegers

KL Cindy Lucock

KM Lilly Morabito (A/P ES1)

KS Sheridan Smith

1R Lauren Roberts

1S Sarah Crooks

1W Jane Ward

1/2C Cathy Owens

2JH Elle Jordan & Emma Hibbard

2M Connie Mills

2SR Rosemary Storey & Sally

Russell

3AE Alex Small & Emma Hibbard

3W John Walsh

3/4S Venice Stokes

4G Meredith Greer

4W Melinda Wilde (A/P S2)

5A Denise Alexander

5H Aimee Hall

5PG Natalie Pepperell (A/P S3) &

Kerrie Grimison

6P Nicole Power

6S Rebecca Scotti Rel/A/P S3)

Ins. Leader Ruth Leal (A/P S1)

Principal Craig Snudden

Deputy Gail McHugh

Counsellor Heidi Jarvis

LaST Janet Wood

RFF Emma Hibbard

PTT/RFF Aretta Tobias

T/Librarian Debbie Smok

SPORT

NEW SCHOOL WEBSITE AND APP

Sport days for each grade are as follows:

Kindergarten—Thursday

Year 1 & 2—Wednesday

Years 3-6—Friday

Craig Snudden

Principal

NEW SCHOOL WEBSITE

Our new school website is up and running! Please visit us at www.bangor-p.schools.nsw.edu.au. Remember to

update your bookmarks or favourites on any computers and devices. NEW SCHOOL APP We also have a new app for all of our push alerts. Instructions on how to download to an iPhone or Android

device is shown below:

1. Click the “App Store” icon on your Apple device or the “Play Store” icon on your Android device.

2. Search for “Skoolbag”, then install. Once installed, open the app.

3. Select “Bangor Public School”.

4. Click the “More” button on the bottom right of the app and select “My Subscription Groups”.

5. Turn on all groups that are relevant to you.

Craig Snudden

Principal

INSTRUCTIONAL LEADER BANGOR PUBLIC SCHOOL

I am very excited to now have the Instructional Leader role at Bangor Public School.

What this means is that I don’t have my own class and I am able to work with teachers to identify areas for

improvement in student learning. This data will assist us to develop quality teaching practices along with

tailored learning programs to meet the identified areas. Writing from Kindergarten to Year 6 will be an

ongoing focus for Bangor.

Teachers are currently collecting detailed information on what your child can do well and where they require

development. In teams, we will work on how we can improve our practices and learning experiences in the

classroom to address these needs.

I look forward to working with my dedicated colleagues and hardworking students throughout the year and

will give you updates on our progress.

Ruth Leal

Assistant Principal

Instructional Leader

MEDICAL INFORMATION

Medical Information Form

All students will require a completed form for 2018. Students in Years 3-6 received a medical form with the

swimming carnival permission notes and information and this should have been completed and returned. A form

has been provided in this week’s Grapevine for students in Kindergarten-Year 2 to complete. The information

included on the form allows staff to appropriately support students and minimise risks when conducting school

excursions, sporting and other school activities.

All 2018 Medical Information Forms are due back at school by Friday 23 February 2018. Please return to the

front office via the school money collection box (gold slot) on the outside of the administration building.

NOTIFICATION OF CONTAGIOUS AND TRANSMITTABLE DISEASES

To protect the health and well being of students with some very serious health conditions it is imperative that

the school be notified through the school office if your child has been diagnosed with a contagious or

transmittable disease eg measles, German measles, chicken pox, whooping cough etc. This enables us to

contact the families concerned and alert them to any risks that can then be minimised. We greatly appreciate

your support with following this procedure.

Gail McHugh

Deputy Principal

Library and Information Skills lessons have commenced. Student borrowing will commence this week (Week 2)

for all students in Years 1-6 and in Week 3 for Kindergarten students.

We are continuing our very successful information skills program again this year for students in Years 3 – 6.

Library and information skills lessons will be delivered by me as part of the RFF program and will be one hour in

duration. Library skills will be taught in conjunction with information skills. Information literacy, the skill of

finding and using information resources, is the basis of the library’s role in the school’s teaching and learning

program. Lessons will be related to work being covered in classrooms (eg History, Geography units, Literacy

work, etc.). During their lessons the students will also do their borrowing, renewing books etc. Kindergarten,

Year 1 and Year 2 library lessons remain at 30 minutes in duration. Lesson days will be as follows:

Monday Tuesday Wednesday Thursday Friday

4G 5H 3AE 5PG 1S

4W 2SR 3/4S 3W 6S

KJ 5A 6P 2M

KL 1R 1W

KM 1/2C

KS 2JH

Library Bags:

We would like every student to bring a library bag to borrow books. The bags help to preserve our books which

are costly to replace. Bangor School library bags can be purchased from the School Uniform Shop. Your child

does not need to have a school library bag. Any cloth bag, plastic zip-lock bag or even a plastic bag would

suffice. However, students must have a library bag, clearly marked with their name, to be able to borrow.

Student Borrowing:

Student loans are for one week only. Students must return their books on their library day (or before if

they wish). They are more than welcome to renew books for a further week but they must bring their book/s to

their library lesson for renewal.

Student Borrowing Limits:

Students may borrow the following number of books at a time (at the teacher/librarian’s discretion):

Kindergarten and Year 1 - 1 book Year 4 - 4 books

Year 2 - 2 books Year 5 - 5 books

Year 3 - 3 books Year 6 - 6 books

Lunchtime Borrowing:

Students may borrow and return books if they wish, at lunchtimes on their allocated day/s. This year the

Library will be open first and second half lunch time every day (unless students are notified otherwise).

Monday - Year 2, 3 & 4 Wednesday - Kinder & Year 1, Years 5-6 Friday - Years 2-6

Tuesday - Year 2, 3 & 4 Thursday - Kinder & Year 1, Years 5-6

Continued overleaf

LIBRARY INFORMATION

LIBRARY INFORMATION (CONTINUED)

Browsing Cards

All students in Years 1– 6 use their browsing card in every lesson and whenever they are searching for books in

the library. The browsing card assists students to return books to the correct location on the shelves as they

are looking for information or browsing to borrow.

Year 1 students will be issued with a card in the next few weeks. Students in Years 2–6 who have already made

a card will continue to use it this year. Any new students in Years 2–6 will need a browsing card. If your child

is issued with a new browsing card this year they will be bringing it home to be covered in clear contact. They

may decorate it as they wish before covering it. This will help preserve the cards for the entire year. If

possible could you please cover the card and return it to school before the library lesson the following week.

Your support in this would be greatly appreciated.

Parent Helpers

I am seeking volunteers who would be prepared to either help in the Library with returning and shelving books

for half an hour or cover books at home (contact is provided). If you can help please complete the tear-off

and return it to me by Friday 16 February 2018 (Week 3). I will organise a roster and contact you in the

following week.

If you require any further information regarding anything about the Library, please contact me through the

School Office. Debbie Smok

Teacher/Librarian

LIBRARY HELP

I would like to assist in the Library from 9.30 – 10.00 am.

My preferred day is: (please circle one)

Monday Tuesday Wednesday Thursday Friday

I would like to assist in the Library from 3.00-3.25pm

My preferred day is (please circle one)

Monday Tuesday Wednesday Thursday Friday

I would like to assist by covering books at home.

Parent’s name (please print) ………………………………………………… Home Phone No: ……………………………………………………

Child’s Name:……………………………………………… Child’s Class: ……………………….

Signed: ............................................. Date: ..........................

Please return to Library by Friday 16 February 2018 (Week 3)

GUITAR GROUPS 2018

Guitar Groups 2018

Student’s Name: _____________________________ Age: ________ Class: _____

Preferred contact name of parent/guardian for correspondence:

________________________________________

Address:

__________________________________________________________________________________

Phone: ______________________ Mobile:______________________

Email: ________________________________

Please return via the school money collection box by Monday 12 February 2018

Guitar groups for 2018 will be held on Thursday mornings commencing in Week 4 - Thursday 22 February.

This year the tutor will be Andrew Morris who prior to 2017 was the tutor for many years.

There will be three tutorial groups which will be held on Thursday mornings commencing at 7.30 am. All

students who were part of guitar groups in 2017 should arrive at school by 7.30 am to be assessed and placed

in a group. All other students should be at school by 8am. Students will be notified of their group by Thursday

afternoon.

All students need their own guitar and will require a folder for music. Students need to have this equipment

for each lesson. Students will learn how to read single notes and how to strum chords. There will be

performances throughout the year.

Tuition fee will be $100 per term, paid directly to Andrew Morris. Term 1 fees will be $80. Please complete

the form below if you wish your child to participate in this program. Forms need to be returned to school by

Monday 12 February 2018.

Any questions about this program please contact Denise Alexander on 9543 2244 or email

denise.p.alexander@det.nsw.edu.au

Denise Alexander

Guitar Group Coordinator

Eco Club 2018

The Eco Club has enjoyed two fantastic years at Bangor Public School and we are back for 2018. Last

year we had over 150 members and this year we are looking for even more.

The Eco Club’s job this year is to continue to beautify the school environment and to complete several

projects that we began last year. We also endeavour to educate the students about the importance of

the environment around them and how they need to play an active role in maintaining and managing this

resource.

The bottle top artwork project was completed at the end of last year and is currently hanging in Mr

Walsh’s new classroom. Please feel free to walk past and check it out.

We have several ideas for fundraising this year. We are asking if you have any decorative pots that you

are getting rid of, could you please bring them to school. Our gumboot gardens are also in need of

rejuvenation; therefore, we would like donations of any gumboots that are no longer needed or old school

shoes. Succulents will slowly take over Bangor Public School so if you have any fantastic ones at home and

you are willing to donate some cuttings, it would be greatly appreciated.

Enrolment forms for the Eco Club will be available approximately Week 5 and we will meet during Week 6.

Any questions please feel free to contact Mr Walsh.

John Walsh and Debbie Smok

Eco Club Coordinators

This years, STEM (Science, Technology, Engineering, Mathematics) Program with Mrs Tobias and Miss

Hibbard will be lots of fun.

We are seeking contributions of any glass jars and lids, egg cartons, garden pots, ice cream containers, paper

towel rolls, straws, unused matchsticks, shoe boxes, small boxes, old stationery, old craft bits and garden

supplies.

Mrs Tobias and Miss Hibbard are located in the Kindergarten block and we have laundry baskets there for

collection.

Thank you for your continued support.

Aretta Tobias and Emma Hibbard

STEM Program coordinators

STEM PROGRAM—RECYCLED MATERIALS NEEDED

Tuesday 13 February 2018 at 7.00pm

Staff Room – Bangor Public School

The 2018 Annual General Meeting of the Bangor Public School Parents and Citizens’ Association will be held on

Tuesday 13 February 2018 commencing at 7.00pm

Following acceptance of the minutes from the 2017 AGM and the tabling of the Audit Report for the year

ended 31 December 2017, all current office bearer roles will be declared vacant and nominations called for the

following positions:

President

Vice Presidents

Secretary

Treasurer

Nominations will also be sought for membership of the following P&C Sub-Committees:

Fundraising

Uniform Shop

Disco

Community Grants

All current P&C members are encouraged to attend the AGM to vote and/or nominate for vacant positions on

the executive and sub-committees.

For more information concerning any aspects of the P&C including the conduct of the AGM, and the roles of

executives and sub-committees, please go to the NSW P&C Federation website: http://www.pandc.org.au/

faq.seo

The AGM is open to all parents and carers who wish to attend, however only financial members are eligible to

vote and/or nominate for vacant positions.

At the completion of the AGM the February general meeting will be held.

Laura Langkjar

President

P&C NEWS

Get involved in the School Banking program Bangor Public School is excited to offer the Commonwealth Bank School Banking program to all students.

School Banking is a fun, interactive and engaging way for young Australians to learn about money and

develop good savings habits. Children who deposit money into their Youthsaver account through School

Banking earn Dollarmites tokens, which they can save up and redeem for exciting rewards.

The rewards available during 2018 are:

Twister Power Handball

Secret Scratch Pad

Sparkle Glitter Pens

Glow Light

Mighty Boom Handball

Heat Reactor Pencils

Slushie Maker Cup

Zoom Flying Disc

School Banking is also a great fundraiser for our school. Our school receives a Regular Savers Contribution

of $5 for every 10 deposits processed per student as well as an Annual Contribution which is based on the

number of students who made at least one School Banking deposit in the prior year.

Getting involved in School Banking is easy!

All you need to get involved in the School Banking program is a Commonwealth Bank Youthsaver account.

You can open an account for your child in one of two ways:

1. Online

Visit commbank.com.au/schoolbanking and click on the link to open a Youthsaver account.

2. In branch

Visit a Commonwealth Bank branch with identification for yourself and your child, like a driver’s licence and

birth certificate.

If your child has an existing Commonwealth Bank Youthsaver account they can start banking straight away.

They just need to bring their deposit in every week on School Banking day using their Dollarmites deposit

wallet.

School Banking day is Thursday. Each week you need to attend School Banking at the Canteen from 8.55am.

If you would like to know more about School Banking, please ask for a 2018 School Banking program

information pack from the school office or visit commbank.com.au/schoolbanking

Melissa Murray

School Banking Coordinator

SCHOOL BANKING

CALLING FOR VOLUNTEERS SCHOOL BANKING

Calling for volunteers – we need your help! Our students really enjoy participating in the Commonwealth

Bank School Banking program and to keep this program

running we need your help.

The program requires a few School Banking volunteers to

facilitate the banking and distribution of School Banking

rewards alongside the volunteer School Banking Coordinator,

Melissa Murray. This only takes a small amount of your time

one day a week and the Commonwealth Bank will provide

support in how to run the program. Your help with the program will greatly benefit students as they develop

vital saving skills and also help our school with fundraising.

Currently, school banking day is Thursday. Only ½ hour of your time is required to help out.

If you are interested in volunteering for this great program, please fill in the tear off section below and

return it to the School Office.

Melissa Murray

School Banking Coordinator

--------------------------------------------------------------------------------------------------------------------------------- Yes, I would like to help with School Banking!

Name: ________________________________________

Phone: ________________________________________

Email: _________________________________________

Availability: _____________________________________

SNACK SHACK

Thank for volunteering to work in the canteen. Please come at 9.30am. If you are unable to work on your day,

please try to organise a swap or text Natalie on 0416 098 116.

The Canteen roster for Term 1 Week 3 is as follows:

2nd Monday of the Month

Cathy Mitchell

2nd Tuesday of the Month

Katie Balange

2nd Wednesday of the Month

Josie Davis, Sue Hebron

3rd Thursday of the Month

Renee Bamford

3rd Friday of the Month

Lola Appleyard, Julie Gaddes, Melissa Murray, Michelle Richards, Vanessa Stephens

Natalie Krepp

Canteen Supervisor

Welcome back!! It's been a busy start to the year. Thank you for your support of the School Uniform Shop.

For your information:

Second Hand items

We have had a great donation of second hand items, THANK YOU, it is greatly appreciated. If you have any

items you wish to donate, please hand into the School Office at any time or to the Uniform Shop when open.

Wilson's Shoes

For those who purchased school shoes from Wilson's Shoes, could you please drop your yellow receipt into the

office or at the uniform shop when open so that we can organise our rebate. THANK YOU.

Caps and Bucket Hats

All caps and bucket hats are $15.00. Caps are available at all times from the school office.

Uniform Shop Opening Hours

Just a reminder that we are open Tuesday mornings 8:45 - 9:45am and Wednesday afternoons 2:45 - 3:45pm.

If you can't make it during these hours, please complete the order form and place it in the money collection

box. We will fill your order and forward items to your child via their teacher. The current price list and order

forms are on the Bangor PS website.

Thank you for your support of the Bangor Primary School P&C Uniform Shop. We wish you all a great 2018!

If you have any questions, please contact Lesa Straker on 0488 668 772.

Renee Bamford, Collette Heslehurst, Robyn Lever, Lesa Straker

Uniform Shop Committee

BANGOR PUBLIC SCHOOL P&C UNIFORM SHOP

GROOVE NATION DANCE PROGRAM 2018 PERMISSION NOTE

I give permission for my child ___________________ from Class (in 2017) _________ to participate in Bangor

Public School’s Groove Nation Dance program. I understand that my child needs to attend lessons each week and be

available to perform during Term 3. I also understand there are costs of $225.00 involved in participating in this

program and that Semester 1 fees of $142.50 are payable by Wednesday 21 February 2018 (Week 4) in order for my

child to participate in the program.

Video footage and/or photographs that may be obtained during Groove Nation’s dance sessions at your child’s school

may be used on the Groove Nation website or in Groove Nation promotional and/or marketing material. The

photographs and/or video footage will not be passed onto any third party or used for any other purposes and all child

protection and safety laws will be strictly abided by.

Please indicate below whether or not you give permission for media of your child to be used for the above purposes

only.

Yes, I give permission for video footage and/or photographs of my child to be used appropriately on the Groove

Nation website and/or for promotional purposes only.

No, I do not give permission for video footage and/or photographs of my child to be used appropriately on the

Groove Nation website and/or for promotional purposes only.

Parent/Guardian name ____________________ Parent/Guardian signature ______________________

Date ________________

I have paid online Receipt no: ………………………………………………………

Total enclosed: …………………………………

Please return via the school money collection box by Wednesday 21 February 2018

In 2018, Groove Nation will be conducting Bangor Public School’s Dance program. Students involved must

commit to attending weekly rehearsals and various performances including Education Week, Sutherland Shire

Music Festival and/or the Dance Extravaganza.

There has been a significant amount of interest in the Groove Nation Dance Troupes and numbers in each

stage are limited, so places will be allocated as forms are returned. Classes will commence in Week 5 Term 1

(week beginning 26 February). Payment of Semester 1 fees and the costume levy must be received before the

commencement of the program Wednesday 21 February 2018 (Week 4).

What to wear: School uniform (girls please wear short bike pants under your uniform). You may bring jazz

shoes if you have them but they are not a necessity.

The timetable is as follows:

Semester 1 Fees:

Cindy Lucock

Groove Nation Dance Program Coordinator

BANGOR PUBLIC SCHOOL GROOVE NATION DANCE PROGRAM

Mondays Thursdays

8:15am – 8:45am: Stage 2 Dance 8:15am – 8:45am: Stage 1 Dance Miss Lucock

8:45am – 9:15am: Stage 3 Dance 8:45am – 9:15am: Boys Hip Hop Crew Miss Lucock

2018 Groove Nation Dance Program fees

Dance Lessons x 15 Semester 1 (Terms 1 & 2) $82.50 Due 21/2/18

Costume Levy - to be paid with Semester 1 fees $60.00 Due 21/2/18

Dance Lessons Semester 2 (Terms 3 & 4) $82.50 Due 4/7/18

TOTAL FOR 2018 $225.00

Medical information form

The information requested by Bangor PS is being obtained for the purpose of ascertaining relevant medical infor-

mation, requirements and other health care related needs about your child who is currently enrolled at the school and

who may participate in school excursions, sporting activities or other educational or school activities conducted by or

in conjunction with Bangor Primary School.

It will be used by officers of the NSW Department of Education and Training to assist planning, to support students

and to minimise risks when conducting school excursions, sporting or other school activities.

Other persons or agencies that may be provided with this information include, but are not limited to, volunteers and

members of external organisations who join with the school or are otherwise involved in the planning or delivery of

the excursion, sporting or other school activity; and persons that may be called upon to provide health care treatment

or other assistance during or as a consequence of such excursions or activities.

Provision of this information is not required by law. However, a failure to provide the information may mean that your

child cannot participate in a particular excursion or school activity. In such circumstances the school will make availa-

ble a sound alternative educational experience.

Provision of this information will significantly assist the school in planning a safer educational activity. It will be

stored securely. If you have any concerns about provision of this information, please contact the school principal to

discuss further.

You may correct any personal information provided at any time by contacting the school office.

Student name: ………………………………………………………………………………………

Medicare Number: (optional) ……………………………………………………………

Class: ……………………………

Parent or caregiver contact details

Name:

…………………………………………………………………………………………………………………………………

Address: …………………………………………………………………………………………………………………………………

…………………………………………………………………………………………………………………………………

Home phone: ……………………………………………

Work: ……………………………………………………

Mobile: ………………………………………………

Doctor contact details

Name:

…………………………………………………………………………………………………………………………………

Address:

…………………………………………………………………………………………………………………………………

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Doctor’s telephone 1 ………………………………………………………………

2…………………………………………………………………

Emergency contact(s) details (nominated by the parent or caregiver as alternate contact)

1. Name: ………………………………………………………………………………………………

Phone: ………………………………………………………………………

2. Name: ………………………………………………………………………………………………

Phone: ………………………………………………………………………

List existing medical conditions or illnesses (include asthma, diabetes, epilepsy, allergies etc). Outline the treatment for

each.

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Outline special dietary needs including possible reaction to inappropriate diet

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Medication(s) to be administered during the excursion. Include name of medication, instructions for administration, time of

administration and any possible reactions.

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Signature: ………………………………………………………………………………………………………………………

Date: …………………………………

Please return this form by : Friday 23 February 2018