Consent Form for Trips and Activities
To include art and crafts, sports and personnal development programmes
I agree to my Son / Daughter / Ward
Date of birth
My son / daughter / ward is in good physical health Yes / No
If NO please give details of any medical condition from which the child
is suffering together with details of treatment and medication currently
being taken or carried.
Is your son/daughter/ward allergic to any medication/food/nuts/bee stings, etc.
If Yes please give details.
Some visits may involve staff cars being used to transport pupils and seat belts
must be worn in the correct manner at all times.
I give my consent for this Yes / No
Swimming and water based activities
Is your child able to swim 50 meters Yes / No
Is your child water confident in a pool Yes / No
Is your child water confident in the sea Yes / No
Is your child safety conscious in water Yes / No
I understand the Kent County Council does not provide personal accident cover
I agree to authorise members of staff during the course of these activities and give
consent on my behalf for anaesthetic to be administered or for another urgent
medical treatment to be given to my child on the advice of a qualified medical
Signed Parent /Guardian