Dear Parents/Carers

This form should be completed annually in September/when a child joins the school.  It will be stored electronically against the child's name and will be used throughout compulsory schooling.  If a request is subsequently made for the withdrawal of the form, a signed note or letter to that effect will be placed on the file and the e-form will be annotated stating that the form has been withdrawn and the date on which such withdrawal takes effect.

Any changes that need to be made to the information provided on this annual medical consent form will need to be done through resubmission of this form.

The school will state clearly on its website and / or by letter which types of visit are covered by annual consent and those which may require additional consent (e.g. adventurous, residential, overseas and coach travel). The school will make available on its website and/or at the school office the extent and limitations of the insurance cover provided.

LIST OF VISITS COVERED BY THIS INFORMATION:
Day Trips, including those outside of normal school hours
Sporting Fixtures

Please read the statements below and complete all sections of this form and then click submit.

I understand that my son / daughter may leave the school premises for the types of visits set out on the school website and / or accompanying letter and give my consent for my child to participate in these visits. I also understand that s/he may leave the school premises at other times when I will be informed separately by letter. If so, further consent will be required from me if the activity takes place outside school time or the activity is perceived to involve a higher level of risk, such as a visit involving a long journey or adventure activity.

I agree to my son / daughter receiving Paracetamol from school staff leading the visit or other medication as instructed and any urgent dental, medical or surgical treatment including anesthetic or blood transfusion as considered necessary by the medical authorities present. I understand the extent and limitations of the insurance cover provided. (Details on the school website/at the school office).

I understand that the school will use its main database (populated by the Data Collection sheet) to provide contact details to the accompanying staff (name, address, telephone numbers) to be used in an emergency during an offsite visit.

I undertake to inform Burnham Grammar School (by contacting reception: reception@burnhamgrammar.org.uk ) as soon as possible of any change in the medical circumstances of my child, and any change of emergency contacts, as listed on the Data Collection sheet after the date below:

Please ensure that this form is returned from the email address to which it was sent.  This is important to provide confirmation of who sent the form to us.  Normally, this will be achieved by clicking the link; please do not forward the message to an alternative email address.

Many thanks
Trips Coordinator
Burnham Grammar School