Documente Academic
Documente Profesional
Documente Cultură
This form is to be completed and signed by students over 18 years of age or by a parent or guardian for students
under 18 years of age and SLDD students under 25 years of age. PLEASE COMPLETE IN BLOCK CAPITALS
Visit to:
DETLING UCAS EVENT - FRIDAY 15 t h MARCH 2019
Student’s name:
Are there any activities in which you/your son/daughter/ward should not participate. If so, please give details:
Are you/is he/she allergic to anything, e.g. medicines, food, pollen, etc? If so, please give details:
Do you/does he/she suffer from any of the following? Asthma, chest complaints, migraine, bad period pains,
travel sickness, diabetes, fits or faints? If so, please give details:
Are you/is he/she having any medical treatment at present? If so, please give details of treatments and
medicines: (Please remember that prescribed medicines may be handed in, before departure, to the staff in charge in their original,
labelled box / bottle for safe keeping.)
Do you/does your son/daughter/ward have any physical disability? Please give details of any special attention
required:
Please use this space to inform the staff in charge, in confidence, of any other medical condition or health
problem that may affect you/your son/daughter/ward during this visit: (If you would prefer to communicate confidential
information in writing to the party leader, please do so.)
! In the event of me/my son/daughter/ward not conforming to the standards of behaviour required by the
member of staff in charge of the visit, I will personally be responsible for all arrangements to get
myself/my son/daughter/ward home.