Year 6 Robinwood Residential : Information and Consent Form

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Your child is due to attend the Robinwood Activity Centre, Wrexham residential on Monday 8th December to Wednesday 10th December 2025. Please complete this Consent Form in full.

On the first and last days, we will post travel updates via the Arbor App - you will receive a notification immediately. Please ensure that you have downloaded the Arbor App to your mobile phone, if you haven’t already done this.

Email *

Child's Details

Name of Child *

Date of Birth *

YYYY

Class *

Class 11

Class 12

Parent/Carer Contact Information

Parent/Carer Name *

Relationship to child *

Home address *

Postcode *

Contact telephone numbers *

Medical Information

Does your child have any known medical conditions? (e.g., asthma, diabetes, epilepsy) *

Yes

If yes, please provide full details

Does your child take any regular medication? *

Yes

If yes, please list the medication, dosage, and when it should be taken (you are required to complete a Medication Administration Form via the school office)

Does your child have any allergies? (e.g., food, insect stings, medication) *

Yes

If yes, please specify and detail treatment required

Does your child have any dietary requirements? (e.g., vegetarian, halal, gluten-free) *

Yes

If yes, please specify the dietary requirement

Does your child have any special educational needs, disabilities, or additional support requirements we should be aware of? *

Yes

If yes, please provide details

Lunch Arrangements - Day of travel (first day)

UPDATED 08/10/2025 - Children will DO NOT need to bring in a packed lunch for the first day. Lunch will be provided at Robinwood on arrival.

Consent

I understand that the staff members in charge will be acting in ‘loco parentis’ and, in the event of an emergency, I agree to my child receiving emergency dental, medical or surgical treatment which could include the use of anaesthetics and blood transfusions, as considered necessary by the medical authorities present. *

Yes

I confirm that I will inform the school as soon as possible of any change in the medical circumstances of my child between the date on which I provide this consent and the commencement of the activity. *

Yes

I understand that the Metropolitan Borough of Wirral is insured in respect of its legal liabilities only, and that there is no personal accident or other cover. Accidents may therefore arise for which the Council is not responsible. Parents/carers may wish to obtain suitable insurance to cover such eventualities. *

Yes

I consent to my child being photographed or filmed during the trip for school use (e.g., newsletters, displays, website, social media).

We will aim to share daily updates on our social media accounts. Without parental consent, we will not be able to share images of your child.

Yes

Declaration

I confirm that the information provided above is accurate and complete to the best of my knowledge. *

Yes

Name *

Date *