JBM/JSS 2 November 2017 Dear Parent/Carer Year 7 Christmas Panto Trip to The Mayflower Theatre Wednesday 20 th December 2017 As part of the social education of our students, I would like to offer your child the opportunity to see the performance of Snow White at the Mayflower on Wednesday 20 th December 2017. This will provide both an enriching and exciting experience as a culmination of their first term at. We will leave school at approximately 12:45pm and travel by coach to the theatre. We expect to return to school by approximately 5pm. To cover the cost of the coach and theatre tickets we need to ask for a voluntary contribution of 15.00. If you require financial support please write to the Headteacher in confidence who will consider each application on its own merit. In the event of insufficient contributions the trip may have to be cancelled. Students will be representing the school and, therefore, the highest standards of conduct will be expected. School uniform should be worn and students will be accompanied by members of the Year 7 pastoral team. If you would like your child to attend this trip, please complete and return the enclosed medical and permission form, together with your payment to the school office no later than Friday 13 th November 2017. Yours sincerely Josh Buckingham Joshua Buckingham Head of Year 7
Please complete and return to the Finance Office on your child s campus by Friday 13 th November 2017 Year 7 Christmas Panto Trip to The Mayflower Theatre Wednesday 20 th December 2017 Student Name:- Tutor group:- My child would like to attend the Year 7 trip to The Mayflower Theatre Christmas Panto on Wednesday 20 th December 2017 I enclose 15.00 Cash / Cheque / Paid Online (Cheques to with child s name on the reverse) Signed:- Date:- (Parent/Carer)
Educational visit information and consent form Please complete both sides, and return to The School Office, Crestwood College, Shakespeare Road, Eastleigh. SO50 4FZ Snow White Pantomime trip to Mayflower Theatre, Southampton Wednesday 20 th December 2017, 12.45-5.00pm Student s Personal details First name: Surname: Date of birth Age Address Name of next of kin Next of kin address during the activity (if different from above) Contact no: Home Work Mobile Name and address of participant's doctor Telephone no NHS no (if known) I confirm that I have parental responsibility for : Consent for the visit or venture He/she is in good health and I consider him/her to be capable of taking part in the activities set out in your letter dated October 2017. I consent to him/her taking part in the programme detailed in your letter. I understand that I can view a copy of the insurance synopsis on request. In the event of illness or accident, I consent to any necessary medical treatment, which might include the use of anaesthetics. Any other information: Student s Medical details Has the participant had any of the following? Asthma or bronchitis Yes No Heart condition Yes No Fits, fainting or blackouts Yes No Severe headaches Yes No Diabetes Yes No Allergies to any known medication Yes No Any other allergies, eg material, food, plasters Yes No Other illness or disability Yes No Travel sickness Yes No Regular medication Yes No
If the answer to any of these questions is Yes, please give details: If it is considered necessary, do you agree to mild painkillers (eg: Paracetamol) being administered Yes No If it is considered necessary, do you consent to hypo-allergenic sun screen being provided to prevent sun burn? Yes No Has the participant received vaccination against Tetanus in the last 10 years? Yes No Is the participant receiving medical or surgical treatment of any kind from either their family doctor or hospital? Yes No Has the participant been given specific medical advice to follow in emergencies? Yes No If the answer to either of the last two questions is Yes, please give details here (including name and dosage of any medicines/tablets): In the event of any illness or medical treatment occurring after the return of this form and prior to the activity, I undertake to inform the group leader. Consent for taking images During our visit or venture we are likely to take pictures and videos. We would like to use these in presentations, displays or in our own booklets, newsletters or publicity. In the event of any images of my child being taken, I consent to them being used for educational purposes. Yes No I understand that if my child is easily identifiable (eg a close facial shot) I will be informed first. I consent to the images being used on the website Yes No
Signature: Signed.... (parent/carer) Please print name here Please indicate your payment method below: I enclose my payment of 15.00 (either cash or cheque payable to ) ( ) I have paid 15.00 using the online payment system ( )