If you would like to participate in the 'Eddie and Spike Tour the Territory' project, print this page then,

• if you are working from home have your parents fill in the Parental Permission Section,
• if you are working from school have your teacher fill in the Teacher Permission Section,
• if you are going to include images with your story, make sure that the Use of Images Section is also filled in and signed,

Fax or post the form to Eddie and Spike's office.

Facsimile Number:(08) 8922 2224

Postal Address:

Eddie and Spike,
c/- Open Learning Support Unit,
PO Box 4821, Darwin, NT, 0801

Parental Permission Section

I hereby give permission for my child _____________________________ to participate in the 'Eddie and Spike Tour the Territory' project. I understand that their work may be published on the Internet as part of the Edna On-Line Australia Northern Territory Initiative but that personal information (including her / his full name) will not be published.

Full Name (please print): __________________________________________________________________________________

Signature: _______________________________________________
Date: ____________________________________________________

Teacher Permission Section

I hereby give permission for my student ___________________________ to participate in the 'Eddie and Spike Tour the Territory' project. I understand that their work may be published on the Internet as part of the Edna On-Line Australia Northern Territory Initiative but that personal information (including her / his full name) will not be published.

School Contact Details (please print):
Name of School: _____________________________________________________________________
School's Postal Address: _______________________________________________________________
School's Email Address (if available): _______________________________________________________________

Teacher Details:
Full Name : ________________________________________________________________________

Signature: ______________________________________________
Date: __________________________________________________

Use of Images Section
(To be completed by Parents)

I hereby give permission for photographs containing images of my child __________________________ to be used as part of the 'Eddie and Spike Tour the Territory' website which will be published on the Internet. I understand that personal information (including her / his full name) will not be published.

Full Name (please print): ______________________________________________________________

Signature: ______________________________________________
Date: __________________________________________________

Fax: (08) 8922 2224 Postal Address: Eddie and Spike, c/- Open Learning Support Unit, PO Box 4821, Darwin, NT 0801