Medical/Emergency Details Reply Form: Ski Trip 2018 jto



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Medical/Emergency Details Reply Form: Ski Trip 2018 JTO

Surname




Form




Full First Name(s)




Ski/boarding ability:

Date of Birth




 Never Skied

Address 1




Beginner

Address 2




 Intermediate

Town




Advanced

Postcode







Contact Person (1) Name




UK Shoe Size




Relationship




Height (cm)




Daytime Telephone




Weight (kg)




Evening Telephone




Helmet size (Circumference of head in cms)







Contact Person (2) Name







Relationship




Daytime Telephone




Evening Telephone




Doctor’s Name




Telephone




Does your child have a medical condition?

Yes

No

If so, what is it?



If your child takes medication, what is it and how often do they take it?


Does your child have an allergy?

Yes

No

If your child has a nut allergy please state: What the reaction is, how it occurs (is the reaction from digesting nuts or an airborne allergy) and if they have an EpiPen or medication.

If so, what is it?




Does your child have any dietary needs?

Yes

No

Please give details of any specific dietary requirements

Does your child have a Healthcare Plan which has been devised by a Healthcare Professional?

Yes

No

I would welcome the opportunity to talk to the Trip Leader regarding my child’s health needs?

Yes

No

I am happy for my child to be given Paracetamol if required.

Yes

No

Signed


Date

The Stanway Federation Ski Trip

JTO


Name of Pupil:

Form:

The following medicines will be taken with us on the Ski Trip and can be administered if needed. We do not hand these out unnecessarily and do adhere to the instructions on the packet. Students should not keep medicine in their bags as we would be unable to monitor what they are taking.



Please can you indicate whether or not you give consent for your child to be given any of the following medications.

Medication

Yes

No

Calpol







Paracetamol







Ibuprofen







Piriton







Rennie







Magnesium Sulphate (for splinters)







Anthisan







Plasters







Strepsils







Throat Lozenges







Bonjela







Blisteeze







Signed:

Relationship to Pupil:

Please note that if your son/daughter is a regular sufferer of headaches or stomach aches, please let us know on their medical form and send them with their own medicine, clearly labelled. This also applies to hay fever medicine, we only take Piriton for unlikely sufferers.

All medicines should be clearly labelled and handed to Mrs Abbott the day we depart for our trip.


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