Meeting  attendance:

I/we will be attending the meeting on Thursday 30th November 2023
*

Basic information - as it appears on the passport:

First Name *
Middle Name
Surname *
Form group: *
Date of birth *
Age at start of trip (14th Feb 2024): *
  1. Daughters weight (Kg): *
  2. Show size: *
  1. Daughters height (cm): *
  2. Ski ability: *
Requested hoodie size: *

Passport information:

Must be exactly as on passport, PASSPORT MUST HAVE 6 MONTHS VALIDITY AND BE LESS THAN 10 YEARS OLD

If the passport needs renewing please enter current details and update us once new ones are available


Nationality: *
Passport Number: *
Date of issue: *
Date of expiry (must have 6 months after return date, 20th Feb 2024): *
Country that issued passport: *
Does your child require a VISA to enter Switzerland? *

Emergency contact details:

Full name of parent/carer: *
Home phone number: *
Email address: *
Work phone number: *
Mobile number: *
Alternative contact name: *
Alternative contact relationship to child: *
Alternative contact phone number 1: *
Alternative contact phone number 2: *

Medical details:

Doctors name: *
Doctors address: *
Doctors phone number: *
Does your child suffer from any of the following medical conditions:
Please provide specific details of any allergies (insect bites, food etc):
Does your child suffer from any other medical condition requiring treatment or medication: *
If yes, please provide full details of any treatment, including emergency procedures, or medication. NB - if your child is subject to an individual healthcare plan, held by the school, this information will be made available to the group leader.
Dietary needs:

Safety is paramount and it is in everyone's best interests to ensure that we have all the relevant information regarding your child's health and if necessary make any special arrangements that may be required, therefore, please sign to confirm you have read and agree to the following statements:

In the event of accident or illness during the trip, which needs immediate treatment, I agree to my daughter receiving first aid and medical treatment from qualified medical practioners, as may be considered necessary by a licensed member of the medical profession. *
I understand I must inform the relevant persons organising this event immediately if there is any change in any of the information stated above between the date specified below and the start of the event. *
My daughter had received the COVID vaccine *
Date of vaccine:
Signed (parent/carer): *
Relationship to student: *
Date: *


Send me a copy of this form

Please leave the next box blank or your submission will not be accepted: