St. Columba's College Cultural Tour to London 2020
Please complete this form if you would like to register your son / daughter for the Cultural Tour to London, January 2020 . All information must be provided, including a copy of the pupils passport. Places are currently only available to pupils in Forms IV and V and limited to 40 and will be awarded on a first come first served basis - waiting lists will apply.
Personal & Passport Information
Please fill in the following detail carefully and fully.
First name(s) of pupil (as per passport) *
Your answer
Surname of pupil (as per passport) *
Your answer
Date of Birth *
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Passport No: *
Your answer
Country of Issue *
Your answer
Nationality *
Your answer
Passport Issue Date *
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DD
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YYYY
Passport Expiry Date *
Passports need to be valid for 6 months after the date of return.
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Digital Copy of Passport *
A scanned copy or photograph of the pupil's passport must be sent to hjones@staff.stcolumbas.ie on completion of this form. Pupils with passports in school may hand them in personally. Passports need to be valid for 6 months after the date of return.
Required
Visa Information & Declaration
It is the responsibility of the pupil and their parents to obtain a visa, if they require one. Not obtaining a visa is not a valid reason for an insurance claim for non travel. Information on visa applications will, however, be provided by the organising teachers. The cost of the visa application is not included in the tour price.
I accept that the acquisition of a visa, should one be required, is the responsibility of the pupils and parents. *
Required
Special Dietary Requirements
Your answer
Any medical conditions or allergies?
Your answer
Other Information
Your answer
Declaration of Consent
PLEASE READ CAREFULLY

I/We are aware of the activities that will be taking place and are happy to give our consent. I/We understand that while on the trip my son/daughter is expected to behave in accordance with the rules and regulations of the college. Any serious breach of these rules may result in the offender being sent home, at the parents' expense. I am happy for the staff to make basic medical decisions for my son/daughter, e.g to stay in the hotel if unwell, if hospital visit is necessary for mild injuries. In general, your child will be checked by a medical specialist for anything we deem necessary. This is covered by the trip’s insurance policy.
*
Required
Payment Information & Declaration
PLEASE READ CAREFULLY

I understand that a non-refundable €220 deposit is required by September 20th 2019 (to secure flights and hotel deposits). The remainder of the cost is payable by January 10th 2020. These costs currently cannot be placed on the College fee account.
I understand the payment schedule and agree to abide by the schedule of payments. *
Required
Parent & Pupil Contact Information
Please provide contact details for the pupil and parents.
Parent Name *
Your answer
Parent Contact Telephone No *
Your answer
Parent Contact Email Address *
Your answer
Pupil Contact Telephone No: *
Your answer
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