The second letter and medical consent form sent to parents of Year 8 students going on the trip to Dieppe.

27 March 2008


Dear Parent/Guardian

Re: Dieppe Trip- Thursday 15 May to Saturday 17 May 2008.

Thank you for your response to the Dieppe trip.  We had over eighty five requests for the fifty places and the list of students is now complete.

Departure: Thursday 15 May 2008. Meet at Newhaven harbour at 6.15am for a 7.00am crossing.

Return: Saturday 17 May 2008. Pick up at Newhaven harbour at 3.30pm.

To make things easier for everyone, we will travel on a group passport. Please fill in the attached medical consent form as well as the form for the collective passport and return these along with a passport photograph and the first instalment of £50 to the cashier by Thursday 3 April.  The final payment of £69 should be paid by the end of April.

Can I remind all parents that for travel abroad we will all need a European Health Insurance Card (EHIC).  The ‘old’ E111 system has changed.  If your son/daughter has not got an EHIC you need to obtain one either by applying on line at www.dh.gov.uk/travellers or by calling the EHIC Application Line on 0845 606 2030.  Applying on line is quick.

You will be invited to an information evening after the Easter Holidays.  In the meantime, if you have any questions, do not hesitate to contact me at school.

Thank you again for your support of this venture.

Yours faithfully

Ms Brigitte Finch
Modern Languages

 
MEDICAL CONSENT FORM

Name ……………………………………………………  Mentor Group ……………………

Parent/Guardian’s Name & Address        Alternative Contact’s Name & Address

……………………………………………..        ……………………………………………..

……………………………………………..        ……………………………………………..

……………………………………………..        ……………………………………………..

Tel No: …………………………………….        Tel No: …………………………………….

1.  Is your child’s tetanus booster up to date?    YES/NO date given ………………

2.  Can your child participate in physical activities without restriction or special supervision?
YES/NO

3.  Has your child had any recent injury?                        YES/NO
     If yes, please give details:

4.  Has your child had any recent infection?                    YES/NO
     If yes, please give details:

5.  Is your child at present under treatment for any condition?                        YES/NO
     If yes, please give details:

6.    Please state any medication which is required by your child.


7.  Please specify any dietary requirements. (including vegetarian)



8.  Does your child have any adverse reaction to elastoplast, penicillin or any other medicine?
     If yes, please give details:                            YES/NO

9.  Does your child have any allergies or adverse reactions to food, insect bites/stings etc?
     If yes, please give details:                            YES/NO

10.  Do you give your permission for a member of staff to give your child a recommended dose of paracetamol in the event of them having a headache?
YES/NO
11.  Please give any further information which may be required.

I consent to my child taking part in the visit to Dieppe.  In the event of my child being taken ill or injured during the period of the visit abroad to the extent that a surgical operation or injection becomes necessary, I authorise the teacher in charge to sign on my behalf any written consent to operate, as required, by the medical authorities.

Signed ……………………………………………….(Parent/Guardian) Date …………..