EXPRESSION OF INTEREST FORM Re: BATTLEFIELDS YEAR 7 TRIP
EXPRESSION OF INTEREST FORM Re: BATTLEFIELDS YEAR 7 TRIP
I give permission for my child to attend the above mentioned trip. I have read and agree to abide by the Battlefields 2018 terms and conditions In order for your child’s trip to go as smoothly as possible I would be grateful if you could complete this form to help with our organisation. 1. Full name of pupil _____________________________________________________________
2. Tutor Group ________________
3. Date of Birth __________________
4. Telephone numbers for contacts: First _____________________ Reserve _________________ 5. Address and telephone number of where you can be reached if you are away during the day. ________________________________________________________________________________ ________________________________________________________________________________
6. Does your child suffer from any allergies? (Hay-fever, asthma etc) _______________________________________________________________________________ _______________________________________________________________________________ PLEASE NOTE – It is the parents’ responsibility to provide correct medication for the student’s use on the trip in its original packaging.
7. Are there any physical or medical conditions we should be aware of? _______________________________________________________________________________
8. Does your child take medication a) Regularly b) One off If the answer to either of these questions is yes, please provide details including dosage and timings: ________________________________________________________________________________ _______________________________________________________________________________ Please note: all prescription medication must be in named original packaging. Date of last Tetanus injection? _______________________________________________
Does your child have any special dietary requirements? Vegetarian Yes/No (Delete as applicable) Other dietary requirements:……………………………………………………………………………………………………
Signed: …………………………………………………………...……………………………..(Parent/Carer)
Print Name: ……………………………………………………………………………………………………..