ࡱ> ]`\ bjbj££ Rc cBBBBBVVV84LV-"0000_-a-a-a-a-a-a-$/2-B"-BB00-MMM^B0B0_-M_-MM+|C,0" S+K--0- ,6:35`:3$C,:3BC,M---:3 :  SEQ CHAPTER \h \r 1ST BONAVENTURES CATHOLIC PRIMARY SCHOOL Egerton Road, Bishopston, Bristol BS7 8HP Tel: 0117 353 2830 Fax: 0117 353 2874 email:  HYPERLINK "mailto:st.bonaventures.p@bristol-schools.uk" st.bonaventures.p@bristol-schools.uk EDUCATIONAL VISITS PARENTAL CONSENT FORM Pupils Name: .. Class. Gender: Male/Female Date of Birth: Address: . Post Code: . MEDICAL INFORMATION: It is important that the headteacher knows if your child suffers from any medical condition, however mild, or is taking medication, so that care can be arranged as appropriate. Please detail below of any condition such as asthma, epilepsy, diabetes, heart condition, allergies etc not already known by the school.Does your child suffer from: Asthma Yes/No Epilepsy Yes/No Diabetes Yes/No Heart Condition Asthma Yes/No Allergies Yes/No Other medical condition Yes/No Is your child under any medical treatment or taking prescribed medicines or drugs? Yes/No If YES please give details Date of last tetanus injection:FAMILY DOCTOR: Name: . Address: . Telephone No (inc dialling code) . Dietary Requirements: Vegetarian Yes/No Vegan Yes/No Other (please specify) ..EMERGENCY CONTACTS: Please provide contact telephone numbers for next-of-kin Person to be contacted: Home Tel No. Work Tel No. Mobile Tel No. [1] [2] Subject to the trip leader agreeing to the inclusion of my child as a member of the school visit, I hereby undertake to indemnify him or her and any other accompanying member of staff against any costs or expenses reasonably incurred by them on behalf of my child during the visit provided that such indemnity shall not extend to claims, damages or costs or expenses against the risk of which the trip leader shall be entitled to be indemnified under any policy of insurance. I also agree to my child being transported on his or her own in a teachers car if circumstances make this necessary. I hereby give my consent for my child to take part in educational visits and activities notified to me and I agree that dental, medical or surgical treatment can be carried out in the case of an emergency. Name: .................................... Relationship to child: ..... Block capitals please Signed: . Dated: ... Parents/carers will be notified in advance of any trips or activities that require children to be taken off site. Children will be transported by coach unless otherwise stated. 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