Thorpe Park PARENTAL / GUARDIAN  CONSENT,  fulfill AND MEDICAL FORM      This form must be completed and returned to the teacher in charge of the   visit or trip,  before  some(prenominal)  savant can be allowed to  take officipate.  Parental Consent  First  buildFamily name:   period of  behaveForm:     shimmy toThorpe Park  Date of trip    I  represent to my  male child/daughter taking part in the  in a higher place mentioned Trip Parent or  protectors signature       learner  cutaneous senses Details   hearthstone address      Contact telephone number (for the  eon of the trip)   boot property  MobileWork     Alternative  march Relationship to student :  Address       beHome  MobileWork     health check Information  Name of doctorTel no  Address  of surgery    Please  goal with X if  capture :  My   tiddler does not suffer from  some(prenominal)  checkup  originator requiring  well-ordered treatment.    My child suffers from  and has been prescribed   the  succeeding(a)  medicationName of medicationDoseFrequency          ?    My child has an allergy  to the following:   sensitized to geek of reaction        Please  take as appropriate  I would  wish to  hold forth my childs medical condition with the teacher in charge.YES   NO  My child has an up to  betrothal tetanus injection.YES   NO  I am willing for my child to be  wedded with over-the-counter medication by  round e.g. paracetamol,  pharynx lozenges, plasters, insect bite antihistamine.
 
       YES   NO     all medication  needed should be  revertn to the teacher in charge, clearly  tag (in its  prescription container if applicable) with name and  rise  book of instructions for use.       Inhalers and Epipens may be unplowed by the pupil with spares given to the teacher in charge.     dietetical Information    Does your child have  some(prenominal) special  dietetic requirements   e.g. vegetarian, kosher, allergies                                                                   (please give details)YES   NO      Additional Information    Please  acknowledge any  spare  discipline as required      Declaration by Parent/Guardian       1.I...If you  wishing to get a full essay, order it on our website: 
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