PARENT CONSENT FORM

Year 10

  A visit to the South Downs Planetarium, Chichester has been arranged for Tuesday 8 May 2012.

I wish my son / daughter ……………………………………..………….……………

(Name of Child in Capitals Please)                                  

to be allowed to participate in the above-mentioned visit, and having read the information letter, agree to his/her taking part in any or all of the activities described.

• I have ensured that my child understands that it is important for his/her safety and for the safety of the group that any rules and any instructions given by the staff in charge are obeyed.
• I understand that, while the school staff, helpers and instructors in charge of the party will take all reasonable care of my child, unless they are negligent they cannot be held responsible for any loss, damage or injury suffered by my son, daughter arising during or out of the journey.
• I confirm that the information supplied by me to the College, concerning medical details and contact numbers is correct.
• I confirm that it is my responsibility to ensure that the information held by the College is complete and up-to-date date.
• I understand that the College cannot be held responsible if the information supplied by me is incorrect.

I certify that my son / daughter (named above) is fit to attend the visit and to the best of my knowledge is free from infectious diseases.

I consent to my son / daughter receiving medication as instructed and any emergency dental, medical or surgical treatment, including anaesthetic or blood transfusion, as considered necessary by the medical authorities present during the course of the visit.

                                                Signed..........................................(PARENT)

01/2011