BOOKING INFORMATION
(Terms & Conditions)
BOOKINGS WILL BE TAKEN BY POST ONLY

Please book early to avoid disappointment. Bookings will be handled in strict order of
arrival at Penryn College.

Cut off date for postal bookings: Wednesday 20th May. This is to ensure that your forms
arrive before the activities start and your child does not miss out on a space.
Please hand deliver any forms to Penryn College after this date.

Please use one booking and one consent form per child at the back of this booklet,
feel free to photocopy the forms.

Please make cheques payable to Penryn College. We can also accept BACS payment please contact us for details.

All of our activities aim to be fully inclusive. Should your child require additional support in
order to participate please do not hesitate to contact us, or contact The Family
Information Service on 0800 587 8191 or visit
http://cornwall.childrensservicedirectory.org.uk/

Please ensure that you can be accessed on the emergency number that you supply on your
booking form (preferably a mobile telephone number).

We will do our best to accommodate your child with the courses they have chosen. If your
child does not get your choice of activity, we will endeavour to offer an alternative activity
or date.

Please use the reference form at the rear of this booklet for your own convenience.



Booking Confirmation
Confirmation of places will not be sent. If you do not hear from us please assume your
child's application has been successful. You are more than welcome to call us to confirm
your child’s place.
Illness
If your child is ill please contact us as soon as possible. A full refund is only applicable
should you contact us 24 hours before the commencement of the course. This is due to the
fact that we are unable to reallocate your child's place at such short notice.
Cancellation by the parent/guardian
Should you wish to cancel a booking please inform us at least 24 hours before
commencement of the course, you will then be entitled to a full refund. Failure to
do this will incur a £5 admin fee taken from the refunded amount.
INFORMATION FOR PARENTS/GUARDIANS

It is essential that all participants have the correct clothing and suitable footwear for
each activity.

For all activities, full and half day, pupils will need plenty to eat and drink. Full day
activities require a packed lunch (including cookery courses).

In the event of an injury your child/children should report immediately to their coach/
tutor.

Children are responsible for their own possessions. Please do not allow them to bring
anything of value.

Please ensure children are sent to all activities with high factor sun block and a sun hat
(if required).

For water related activities a change of clothing, footwear and a towel is essential.

All children participating in trampolining must bring a pair of socks.

The highest standards of behaviour will be expected at ALL times including
travelling on coaches to and from activities, should a child not meet this
expectation we will contact parents to withdraw their child from an activity. If the
activity is off site, parents will be expected to collect their child immediately.
OFF SITE ACTIVITIES
DEPARTING FROM PENRYN COLLEGE
Any activities which involve travelling to a venue/activity or is located off site (not at
Falmouth School or Penryn College) will include transport
with the exception of Bike Safari and Watersports.
The mini-buses will depart from Penryn College at the times stated on the activity details.

Please ensure that your child is at Penryn College in plenty of time, the times stated on the
activities are the times that the mini bus will depart from the College.

Time of return is approximate, so please be at Penryn College for pick up a few minutes
early.

Please ensure that your child has suitable clothing i.e. wet weather gear and or sun hat,
enough to eat (including a packed lunch) and drink.

Please ensure that you child has sun cream with them if they are participating in an
outdoor activity.
Parents must drop off children and pick them up from
Penryn College
Arrivals & Departures
It is very important that all children are escorted to the registration area, this is to stop
any confusion/complications with bookings and/or to
inform parents/guardians of any important last minute information about the course
which your child is booked on.
We will not dismiss any participant from an activity unless they are collected by an
appropriate adult, or a signed letter has been sent along with the child's booking form
asking that they be dismissed without an adult.
Falmouth School (FS)
All activities at this site will be registered and dismissed in main reception,
please escort your child/children to and from this area. TR11 4LH
Penryn College (PC)
All activities at this site will be registered and dismissed in main reception,
please escort your child/children to and from this area. TR10 8PZ
This includes activities where pupils are being transported off site.
Off Site Courses (OS)
ALL registration for these activities will be at Penryn College main reception.
Please arrive at least ten minutes before the time stated in this brochure to ensure
that transport leaves on time.
Bissoe Bike Trail (BT)
Please register with Martin Beck outside Bissoe Cycle Hire at least ten minutes before
the start of the session (07980026930). TR4 8QZ
Elemental UK Water Sports on Swanpool Beach (SB)
Registration will be in the Elemental compound at Swanpool Beach, please arrive at least
ten minutes before the start of the session. TR11 5BG
8+
5-7
Years
3-4
Years
Date
/Age
BANK
HOLIDAY
BANK
HOLIDAY
BANK
HOLIDAY
Monday
25th May
Venue
Water Sports
Football
Festival
Cheerleading
Target Club
Tennis
FS
Mini Multi
Sports
Eco
Explorers
Mini Cheer
Mini Art
Mini Tennis
FS
PC
PC
SB
PC
FS
FS
PC
PC
FS
Summer
Picnic
Football
Festival
Tennis
Surfing
First Aid
Mini Tennis
Eco
Explorers
Taekwondo
Mini Multi
Sports
Thursday
28th May
Taekwondo
Woodland
PC
Wild
First Aid
PC
Climbing
PC/OS Art
FS
Football
Festival
Ready
Steady Cook
FS
PC
PC
Venue Wednesday Venue
27th May
Soccer Tots
Tuesday
26th May
FS
PC
PC
FS
PC
FS
OS
FS
FS
Venue
PC
PC
Venue
Bike Safari BT
Mini Gym
Mini Bike
Friday
29th May
Children Aged 3 - 4 Years
Course 1 - Soccer Tots
With PFDC - Mini Soccer works with our youngest footballers. Aimed at boys and girls
aged 3 to 4 years of age, with sessions designed to increase children’s balance,
co-ordination and self-confidence, whilst learning basic movement with the use of
footballs. Parents are welcome to stay.
Tuesday 26th May
12.30-13.30
Falmouth School
£3.00
Children Aged 5 - 7 Years
Course 2 – Mini Tennis
With Saracens Tennis Club - Come along to our ‘mini red’ tennis sessions. This is a
great chance to help mini players take part in exciting exercises and develop tennis
skills at a pace that suits you!
Tuesday 26th May & Wednesday 27th May
13.00-15.00
Penryn College
£7 per session
(please indicate which day on application form)
Course 3 - Eco Explorers
Calling all budding bush crafters and nature lovers! If you'd like to construct amazing
shelters, discover how a fungus can help light a campfire, cook food over the fire on
sticks, learn how to use green woodworking tools and discover more about animals
and habitats then wrap up warm and join us in the wildlife garden this half term for a
series of mornings in the great outdoors!
Please wear wellies and bring waterproofs.
Tuesday 26th May, and Wednesday 27th May
10.00-12.00
Penryn College
£20.00 for both days
Course 4 - Mini Multi Sports
With Carol Allen - Have fun playing a variety of new games and sports.
Please bring a drink and a snack.
Tuesday 26th May and Thursday 28th May
09.30-11.30
Falmouth School
£6.00
(Please indicate which day on application form)
Children Aged 5 - 7 Years
Course 5 - Mini Bike Club
With Martin Beck (Bikeability and British Off Road Instructor) - Come along and enjoy
some playground and school field games and gain confidence on your bicycle. Learn
about your bike through bike mechanics. If you need any further information or have
any questions then please call Martin Beck on 07980026930.
For competent bike riders - with or without stabilisers.
Please bring your own bike and helmet!
Friday 29th May
09.30-11.30 Penryn College
£7.00
Course 6 - Taekwondo
With Black Panther Taekwondo - Starting from basic kicking working up to jumping
kicks, spinning kicks, jumping spinning kicks. The benefits are self - discipline, respect
for yourself and others, confidence, a sense of achievement, feeling fit and healthy,
gaining a wealth of new knowledge and putting a smile on your face.
Thursday 28th May
10.00-12.00
Falmouth School
£7.00
Course 7- Mini Art
Mysterious Me: Explore creating a number of masks, head-dresses and disguises. Using pre-formed masks, fabric, paper and found materials create new expressions, faces
and hats to surprise and fascinate your friends and family.
Tuesday 26th May
12.30-14.30
Falmouth School
£8.00
Course 8 - Mini Cheer
With West Coast Cheerleading - Cheerleading helps confidence, attitude, body
awareness and posture as well as many other benefits. Come along and learn some
new moves to create a routine to music.
Tuesday 26th May
09.30-11.30
Falmouth School
£7.00
Course 9 - Mini Gymnastics
With Saracens Gymnastics - Gymnastics is a great way to meet new friends and
improve fitness, flexibility and stamina. It builds co-ordination, strength and
confidence.
Friday 29th May
09.30-11.30
Penryn College
£7.00
Children Aged 8 +
Course 10 Elemental UK Watersports
Swanpool Beach
Have a go at Sailing, Kayaking & Paddle Craft at
Swanpool Beach. Wetsuits & equipment
provided. Please arrive on time at the beach,
reporting to the Elemental compound.
Please bring wetsuit boots or a pair of shoes that can get wet!
For competent, confident swimmers only. Ages 8 -16
Option 1 - Full Day
£22.00
09.00 - 16.00
Water Sports Activities, check surf and weather reports in the IT suite, design posters,
beach games & group activities
12.00 - 13.00 Lunch time on the beach (bring your own lunch)
Tuesday 26th May
An additional wrap around service is available between 08.30-09.00 or 16.00-17.00,
please contact Elemental on 01326 318771 for more details.
Children Aged 8 +
Course 11 - Tennis
With Saracens Tennis Club - Come along to our tennis sessions to learn the game and
improve skills.
Tuesday 26th May & Wednesday 27th May
10.00-12.00
Penryn College
£7 per session
(please indicate which day on application form)
Course 12 - Football Festival
With PFDC - Soccer Schools are for boys and girls aged 8 –14. FA qualified coaches will
provide games, skills and lots of fun on the three day course. The course also
provides a great way to meet new friends and catch up with old ones. Everyone who
attends will receive a course certificate. Please bring trainers/football boots and shin
pads.
Tuesday 26th May, Wednesday 27th May, Thursday 28th May
10.00-15.00
Penryn College
A) Three days
£36.00
B) Two days
£26.00
C) One day
£16.00
(please indicate which day on application form)
Course 13 - First Aid Training (Learn Life Saving Skills)
With Vincent Bethermin of SaveLife Training first aid is far from boring! This fun and
interactive course teaches children aged between 8 to 12 basic first aid skills including
CPR, Recognising symptoms of a heart attack, shock and bandaging techniques. Give
your child the confidence to act and empower them with some life saving skills. A few
basic skills can and does save lives.
Each first aider will receive an A4 Emergency Life Support first aid certificate and a first
Aider badge.
Please wear old, comfortable clothing as these sessions are very practical. Please
make a note on booking form if your child has any allergies.
Wednesday 27th May (8-12) 09.30-14.30
Falmouth School
£12.00
Children Aged 8 +
Course 14 - Woodland Wild
Learn the ancient skill of archery, use flint and steel to light a campfire, cook food on
a stick over the fire and construct a shelter deep in the woods with Camp Kernow,
based in Truro. Please wear old trainers, walking boots or wellies and bring waterproofs and a packed lunch. Ages 8-11
Thursday 28th May
Depart Penryn College 09.30 and return 15.30
£25.00
Course 15 - Taekwondo
With Black Panther Taekwondo - Starting from basic kicking working up to jumping
kicks, spinning kicks, jumping spinning kicks. The benefits are self - discipline, respect
for yourself and others, confidence, a sense of achievement, feeling fit and healthy,
gaining a wealth of new knowledge and putting a smile on your face.
Thursday 28th May
13.00-15.00
Falmouth School
£7.00
Course 16 - First Aid Training (Don’t be a bystander!)
With Vincent Bethermin of SaveLife Training this course is aimed at 12 to 16 year olds
and teaches them essential life saving skills. It looks at the bystander effect and how
when in a crowd people are less likely to act if an emergency occurs. With group led
scenarios and shock videos Vincent teaches Emergency Life Support skills to empower
young people to have the confidence to act in an emergency situation.
Each student will receive an A4 Emergency Life Support first aid certificate and wallet
certificate.
Please wear old, comfortable clothing as these sessions are very practical. Please
make a note on booking form if your child has any allergies.
Thursday 28th May
09.30-14.30
Penryn College
£12.00
Children Aged 8 +
Course 17 - Bike Safari
With Martin Beck (Bikeability and British Cycle Off Road Instructor) - This session has
been designed to give your child an introduction to off road cycling. They will learn new
skills that will help them to ride smoother, safer & with more confidence off road. We
will be riding some of the mineral tramway for a warm up and then stop in the woods
for some 'skills training'. What will you need? Mountain bike with gears (preferable) Helmet a must! - Pads (optional, but recommended), spare change of clothes in case
you get wet, rucksack with a drink, 1 of their 5 a day and a snack. If you need any
further information or have any questions then please call Martin Beck on
07980026930. Ages 8-11. Please meet at Bissoe Cycle Hire - TR15 1QR
Friday 29th May 13.00—16.30
£16.00
Course 18 - Cookery: Summer Picnic.
With Sally Ould- make some tasty food to bring on a summer picnic- mini quiches, yummy dip, some bright and colourful fruit salad and more. Choose ingredients from a selection and get creative!
Please make a note on booking form if your child has an allergy to certain foods or is
a vegetarian.
Please bring a packed lunch.
Ages 8-12
Wednesday 27th May
09.30-14.30
Falmouth School £18.00
Course 19 - Ready Steady Cook
With Sally Ould - Get into teams, choose between two recipes and have a
cook off! Prizes will be given for best dishes, safest kitchen, best teamwork...etc.
Make a main course in the morning and a sweet dish after lunch.
Please make a note on booking form if your child has an allergy to certain foods or is
a vegetarian.
Please bring a packed lunch.
Ages 8-12
Thursday 28th May
09.30-14.30 Falmouth School
£18.00
Children Aged 8 +
Course 20 - Climbing Club
Enjoy some climbing on the specialised climbing wall at Penryn College.
Learn to belay, traverse and reach the summit of the wall!
Please bring warm clothing and a waterproof coat. Ages 10-16
Thursday 28th May
10.00-12.00
Penryn College
£7.00
Course 21 - Target Club
With Chris Reade - Enjoy a range of target sports including Archery and Indoor Curling.
These activities help develop concentration and coordination and give a real sense of
achievement. Ages 8-14
Tuesday 26th May 12.30-14.30
Penryn College
£7.00
Course 22 - Cheerleading
With West Coast Cheerleading - Cheerleading helps confidence, attitude, body
awareness and posture as well as many other benefits. Come along and learn some
new moves to create a routine to music.
Tuesday 26th May
12.30-14.30
Falmouth School
£7.00
Course 23 – Art
Fantastic Fabric creations! Decorate up a T-shirt using fabric paints, pens, appliqué and
embroidery. (bring your own light coloured t-shirt) Make sock monsters and friends
from old colourful socks. Make juggling creatures using a sewing machine and hand
sewing. Explore a range of fabric arts, bring your own ideas and learn new skills.
Thursday 28th May
09.30-14.30
Falmouth School
£18.00
Course 24 - Surfing
With Elemental UK - Enjoy a day of surfing at the Tolcarne Elemental UK Centre. Whatever your ability, you will be lead by fully qualified staff who will give you the best
surfing experience possible. For competent, confident swimmers only.
Ages 8 -16
Depart Penryn College 09.30 return 16.00
£30.00 per session
Wednesday 27th May
APPLICATION FORM
MAY 2015
Name:
D.O.B:
Age:
Present school:
Year Group:
Contact names:
Contact Numbers:
Email Address:
During the programme photographs of participating children maybe taken for use in the local
press, do you give your consent for this? YES/NO
Your child's details will be stored on a secure database do you give your consent for this? YES/NO
Please fill out the Parental Consent form overleaf
COURSE
COURSE NO.
DATE(S)
TOTAL
COST
£
I have read and I understand the terms and conditions outlined in the holiday booklet.
Signed:
PARENT/GUARDIAN
Parental Consent Form/Safety on Educational Visits
Data Protection act. The information being collected on this form will only be used for the purpose of school administration of visits and
journeys under Department of Education and Skills guidelines. The data will not be disclosed to any external sources other than in an
emergency, or Local Education Authority, without your written consent.
1.
Name of participant:……………………….……………………………………………
2.
Address:………………………………………………………………………………………………………....
………………………………………………………………………………………………………….
Tel No:…………………………………
3.
Age:…………………
4.
Emergency address and/telephone (if different from above)………………………………………………
…………………….……………………………………………………………………………………………...
5.
Personal Information: please give details requested below or personal
information which might be relevant.
A. Has your child, to your knowledge, been in contact with any infectious illness in the last three weeks?
Yes
No
If yes please give details………………………………………………...
…………………………………………………………………………………………………………………...
B. Does he/she suffer from any allergies, diabetes, migraine, epilepsy, bad period pains,
sleepwalking, bed wetting or any other illness or disability? Yes
No
If yes please give
details…………………………….……………………………………………………………………………...
6.
7.
8.
9.
C. Is he/she allergic to anything (e.g. antibiotics, elastoplasts, aspirin or any such
medicines, any particular food/drink)?
Yes
No
If yes, please give details…………………….
……………………………….…………………………………………………………………………………...
D. Is he/she actively sensitive to penicillin? Yes
No
If yes, please give details…………………….
………………..…………………………………………………………………………………………………..
E. Is he/she receiving any medical treatment at present?
Yes
No
If yes, please give
details…………………………….…………………………………………………………………………….
F. Date of last anti-tetanus injection:………………………………………………….
G. Does he/she have any special dietary needs?.................................................................................
…………………………………………………………………………………………………………………….
H. Can he/she swim 50 metres? Yes
No
I. Name & address of own Doctor:…………………………………………………………………………….
…………………………………………………………………Tel No………………………………………….
Insurance: Please note that there is a limited amount of cover for personal accident and loss of
personal belongings through School Journey Insurance. Participants are covered by Cornwall County Council
insurance in the event of negligence by one of its employees or agents. Details are available on request.
PARENTAL CONSENT:
(i) I have read the information provided and agree to my son/daughter taking part in the above
activities.
(ii) I acknowledge the need for him/her to behave responsibly at all times.
(iii) I understand that the staff responsible for the activities will take all reasonable care of
participants.
(iv) I consent to any emergency treatment if necessary. I therefore authorise the party leader(s) to sign, on my
behalf, any written form of consent required by the hospital authorities should medical treatment (a surgical
operation or injection) be deemed necessary, provided that the delay required to obtain my signature might be
considered, in the opinion of the doctor or surgeon concerned, likely to endanger my child’s health or safety.
(v) I consent to my child travelling in a motor vehicle driven by a member of staff or other adult in the event of
an emergency and in accordance with associated LEA guidance.
Signature:
Print
Please return this form, together with any deposit or payment required.
A copy of this form may be returned to parent/guardian by the school once received after signature, should it
be required.
APPLICATION FORM
MAY 2015
Name:
D.O.B:
Age:
Present school:
Year Group:
Contact names:
Contact Numbers:
Email Address:
During the programme photographs of participating children maybe taken for use in the local
press, do you give your consent for this? YES/NO
Your child's details will be stored on a secure database do you give your consent for this? YES/NO
Please fill out the Parental Consent form overleaf
COURSE
COURSE NO.
DATE(S)
TOTAL
COST
£
I have read and I understand the terms and conditions outlined in the holiday booklet.
Signed:
PARENT/GUARDIAN
Parental Consent Form/Safety on Educational Visits
Data Protection act. The information being collected on this form will only be used for the purpose of school administration of visits and
journeys under Department of Education and Skills guidelines. The data will not be disclosed to any external sources other than in an
emergency, or Local Education Authority, without your written consent.
1.
Name of participant:……………………….……………………………………………
2.
Address:………………………………………………………………………………………………………....
………………………………………………………………………………………………………….
Tel No:…………………………………
3.
Age:…………………
4.
Emergency address and/telephone (if different from above)………………………………………………
…………………….……………………………………………………………………………………………...
5.
Personal Information: please give details requested below or personal
information which might be relevant.
A. Has your child, to your knowledge, been in contact with any infectious illness in the last three weeks?
Yes
No
If yes please give details………………………………………………...
…………………………………………………………………………………………………………………...
B. Does he/she suffer from any allergies, diabetes, migraine, epilepsy, bad period pains,
sleepwalking, bed wetting or any other illness or disability? Yes
No
If yes please give
details…………………………….……………………………………………………………………………...
6.
7.
8.
9.
C. Is he/she allergic to anything (e.g. antibiotics, elastoplasts, aspirin or any such
medicines, any particular food/drink)?
Yes
No
If yes, please give details…………………….
……………………………….…………………………………………………………………………………...
D. Is he/she actively sensitive to penicillin? Yes
No
If yes, please give details…………………….
………………..…………………………………………………………………………………………………..
E. Is he/she receiving any medical treatment at present?
Yes
No
If yes, please give
details…………………………….…………………………………………………………………………….
F. Date of last anti-tetanus injection:………………………………………………….
G. Does he/she have any special dietary needs?.................................................................................
…………………………………………………………………………………………………………………….
H. Can he/she swim 50 metres? Yes
No
I. Name & address of own Doctor:…………………………………………………………………………….
…………………………………………………………………Tel No………………………………………….
Insurance: Please note that there is a limited amount of cover for personal accident and loss of
personal belongings through School Journey Insurance. Participants are covered by Cornwall County Council
insurance in the event of negligence by one of its employees or agents. Details are available on request.
PARENTAL CONSENT:
(i) I have read the information provided and agree to my son/daughter taking part in the above
activities.
(ii) I acknowledge the need for him/her to behave responsibly at all times.
(iii) I understand that the staff responsible for the activities will take all reasonable care of
participants.
(iv) I consent to any emergency treatment if necessary. I therefore authorise the party leader(s) to sign, on my
behalf, any written form of consent required by the hospital authorities should medical treatment (a surgical
operation or injection) be deemed necessary, provided that the delay required to obtain my signature might be
considered, in the opinion of the doctor or surgeon concerned, likely to endanger my child’s health or safety.
(v) I consent to my child travelling in a motor vehicle driven by a member of staff or other adult in the event of
an emergency and in accordance with associated LEA guidance.
Signature:
Print
Please return this form, together with any deposit or payment required.
A copy of this form may be returned to parent/guardian by the school once received after signature, should it
be required.
APPLICATION FORM
MAY 2015
Name:
D.O.B:
Age:
Present school:
Year Group:
Contact names:
Contact Numbers:
Email Address:
During the programme photographs of participating children maybe taken for use in the local
press, do you give your consent for this? YES/NO
Your child's details will be stored on a secure database do you give your consent for this? YES/NO
Please fill out the Parental Consent form overleaf
COURSE
COURSE NO.
DATE(S)
TOTAL
COST
£
I have read and I understand the terms and conditions outlined in the holiday booklet.
Signed:
PARENT/GUARDIAN
Parental Consent Form/Safety on Educational Visits
Data Protection act. The information being collected on this form will only be used for the purpose of school administration of visits and
journeys under Department of Education and Skills guidelines. The data will not be disclosed to any external sources other than in an
emergency, or Local Education Authority, without your written consent.
1.
Name of participant:……………………….……………………………………………
2.
Address:………………………………………………………………………………………………………....
………………………………………………………………………………………………………….
Tel No:…………………………………
3.
Age:…………………
4.
Emergency address and/telephone (if different from above)………………………………………………
…………………….……………………………………………………………………………………………...
5.
Personal Information: please give details requested below or personal
information which might be relevant.
A. Has your child, to your knowledge, been in contact with any infectious illness in the last three weeks?
Yes
No
If yes please give details………………………………………………...
…………………………………………………………………………………………………………………...
B. Does he/she suffer from any allergies, diabetes, migraine, epilepsy, bad period pains,
sleepwalking, bed wetting or any other illness or disability? Yes
No
If yes please give
details…………………………….……………………………………………………………………………...
6.
7.
8.
9.
C. Is he/she allergic to anything (e.g. antibiotics, elastoplasts, aspirin or any such
medicines, any particular food/drink)?
Yes
No
If yes, please give details…………………….
……………………………….…………………………………………………………………………………...
D. Is he/she actively sensitive to penicillin? Yes
No
If yes, please give details…………………….
………………..…………………………………………………………………………………………………..
E. Is he/she receiving any medical treatment at present?
Yes
No
If yes, please give
details…………………………….…………………………………………………………………………….
F. Date of last anti-tetanus injection:………………………………………………….
G. Does he/she have any special dietary needs?.................................................................................
…………………………………………………………………………………………………………………….
H. Can he/she swim 50 metres? Yes
No
I. Name & address of own Doctor:…………………………………………………………………………….
…………………………………………………………………Tel No………………………………………….
Insurance: Please note that there is a limited amount of cover for personal accident and loss of
personal belongings through School Journey Insurance. Participants are covered by Cornwall County Council
insurance in the event of negligence by one of its employees or agents. Details are available on request.
PARENTAL CONSENT:
(i) I have read the information provided and agree to my son/daughter taking part in the above
activities.
(ii) I acknowledge the need for him/her to behave responsibly at all times.
(iii) I understand that the staff responsible for the activities will take all reasonable care of
participants.
(iv) I consent to any emergency treatment if necessary. I therefore authorise the party leader(s) to sign, on my
behalf, any written form of consent required by the hospital authorities should medical treatment (a surgical
operation or injection) be deemed necessary, provided that the delay required to obtain my signature might be
considered, in the opinion of the doctor or surgeon concerned, likely to endanger my child’s health or safety.
(v) I consent to my child travelling in a motor vehicle driven by a member of staff or other adult in the event of
an emergency and in accordance with associated LEA guidance.
Signature:
Print
Please return this form, together with any deposit or payment required.
A copy of this form may be returned to parent/guardian by the school once received after signature, should it
be required.