Year 8 Activity Week 8 July - 12 July Consent Form

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Statement of Risk:
Outdoor and adventurous activities often involve learning new skills in unfamiliar environments. As such these activities have an element of risk, which includes a danger of personal injury or death. Participants and/or their parents/guardians undertaking these activities should be aware of and accept these risks and be responsible for their own actions. Life jackets are provided for water based activities.

Please complete this form by Friday 21 June - Thank you.

Please complete this form by Friday 21 June - thank you

Pupil 1st Name *

Pupil Surname *

Year & Form Group *

I give consent for my daughter to take part in the land based activities *

Yes

I give consent for my daughter to take part in the water based activities *

Yes

My daughter is water confident (a 'No' would not prevent them participating in water based activities but is important for instructors to know) *

Yes

Other:

Has your child had any recent injuries / illness which we should be aware of? *

Yes

Details if yes *

I confirm that I have checked my daughter's medical details on the parent portal and they are up to date. Please be aware that anyone needing ANY medication must complete an “Administration of Medicine Form” available at www.clairescourt.com. Go to Menu/parents/new parents/forms. Medication must be handed to the School Nurse by Monday 1 July 2019 *

Yes

I am aware that my daughter needs a snack and a packed lunch on Monday 8, Tuesday 9 and Wednesday 10 July. Please tick the box below to confirm. *

I will supply a snack and packed lunch on the above three days

Required

I will be collecting my daughter from Phoenix between 2.00pm and 3.30pm on Thursday 11 July *

Yes

Please confirm below if you wish your daughter to have the BBQ (which there will be a charge) or you are providing a packed lunch *

I wish my daughter to have the BBQ and I understand I will be charged for this

I will provide a packed lunch for my daughter

Parent Name *

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