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Visit consent form

You can use this form to give consent for your child to take part in specific school activities.
Please fill in the whole form. Although we may already have contact details we ask you to supply them each time to ensure they are up to date - especially for things like mobile phone numbers, which can change frequently.

The activity

Select one of the following*

The child

Your details

Alternative contact

Medical details

Travel arrangements

Travel to and from the academy is automatically provided. If this is NOT required please pick one of the options below.

Your consent

My child may receive pain relieving medication up to one dose of paracetamol only - when appropriate*
I am happy for my child to take part in this visit and having read all the information provided I agree to them taking part in the activities described. I understand that the staff responsible will take all reasonable care of participants. I agree to my child 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. I understand the extent and limitations of the insurance cover provided.*

Submitting this form acts as a digital signature and will be taken to indicate consent to the visit as detailed above.

Please type the letters and numbers displayed in the image into the textbox below to verify you wish to send this response. If you have difficulties reading the letters in the image below you can try a different image by clicking on it.

Verification Image