Activity Week Consent Form

Activity Week - Thriftwood Scout Centre Monday 23rd June and White Oak Leisure Centre Thursday 26th June 2025

I agree with my child participating in the above visit as per the details in the letter I received. I agree with my child's participation in the activities described and acknowledge the need for them to behave responsibly.

Child's name and year group* Does your child have any medical condition (including allergies) which may require medical treatment, including medication. If YES, please give details.*

I agree to my child receiving any medication as instructed and for any emergency dental, medical or surgical treatment (including anaesthetic or blood transfusion) as considered necessary by the First Aider or medical authorities present.

Please state the name, telephone number and the relationship to the child of the person you would like us to contact in an emergency*

Photo permission, please select one of the following:*I give permission for my child to be photographed and/or filmed whilst on the visit and understand that these photographs may be used for school or publicity purposes, including internet publicationI do not give permission for my child to be photographed and/or filmed whilst on the visit

Collection Monday 23rd June, children should return to school between 4.00pm and 4.30pm. Please indicate one of the following:*My child has permission to walk home from school unaccompaniedMy child will be collected from school by.......................................................................................................................

Collection Thursday 26th June. Please indicate one of the following:*My child has permission to walk home from White Oak at 4.00pmMy child will be collected from White Oak at 4pm by..........................................................................................................................................................

If you need to make any changes to the information on this form you can do so by submitting another form, or by contacting the school office.

This form is valid for the above school trip from the date it is completed, for the period of time your child attends the school visit. The consent will automatically expire after this time. We hold your records securely, until the school visit has ended and all the children are returned to school, after which time they are retained securely for 1 month in case of any queries, then safely destroyed.