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PARENTAL/CARER CONSENT AND MEDICAL INFORMATION FORM FOR TYPE A EDUCATIONAL/OFF-SITE VISITS

DETAILS OF VISIT: Local visits eg Visits to the park, supermarket, library, swimming, sporting events etc.

ALTERNATIVE ACTIVITY (Plan B): Stay in school/college.

Please provide details of an alternative contact in the event we cannot contact you.
Please supply any additional information that you wish the Visit Leader to be aware of (e.g. medical conditions, allergies, recent illness, special requirements etc) which may affect him /her in this visit:
***Please note that all of the above boxes must be checked in order for your child to access offsite visits. ***
*Please type your full name into the box and this will serve as a signature for this document.** Parental/Carer consent is required for children aged 17 and under.
In the case of the participant being 18 years of age and above, the form must also be signed by them to confirm the accuracy of information, and consent to any necessary medical treatment.

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