ࡱ> !!` bjbj\\ >>222$8Ļ,+ԾԾԾԾQc o<>>>>>>$hQ`bE2/"QbԾԾ[.8Ծ2Ծ<<$2pԾ 0!R<0D,spp2p(w0"wwwbbwww+++Hht$G+++htF4z" APPENDIX 2A EE2 FORM Parental Agreement to Educational Excursion Excursion(s) to FORMTEXT      Date(s) from FORMTEXT      20 FORMTEXT      to FORMTEXT      20 FORMTEXT       SECTION A  PARTICIPANT DETAILS Participants SurnameForenameDate of BirthAddressContact Telephone Number(s)Emergency Telephone Number(s) SECTION B MEDICAL DETAILS (please tick as appropriate) Name and Address of Family DoctorTelephone Number1.Does your child suffer from any allergies? YesNo If yes, give details2.Is your child taking any medication at present? YesNo If yes, give details3.To the best of your knowledge has your child been in contact with any contagious or infectious disease or suffered from anything in the last four YesNoweeks that may become contagious or infectious? If yes, give details4.Does your child suffer from travel sickness? YesNo5.Does your child have incontinence problems that may affect participation in this excursion?YesNo If yes, give details6.Has your child received a tetanus injection in the last five years?YesNoDont Know Date of last tetanus injection, if knownPTO 7.Give full details of any illness, injury or disability that might affect your childs participation. 8.Does your child suffer from any conditions requiring medical treatment? YesNo If yes, give details *** PLEASE NOTE ANY CHANGE IN MEDICAL CONDITIONS OR MEDICATION MUST BE NOTIFIED TO THE ESTABLISHMENT AS SOON AS POSSIBLE*** SECTION C ADDITIONAL INFORMATION (please tick as appropriate) 1.Is your childA non-swimmer?Able to swim 25 metres?Able to swim 50+ metres?2.Does your child have any special dietary requirements (e.g. vegetarian)?YesNo If yes, give details3.Is there any activity in which your child may not participate? YesNo If yes, give details4.It is normal practice for other participants and the school/community education centre to take photographs/video to record excursions. Should you not wish your child to be included, please tick this box SECTION D PARENTAL AGREEMENT TO EXCURSION AND TO EMERGENCY MEDICAL TREATMENT Parents should read carefully the alternative statements of consent detailed below and sign that statement which reflects their wishes in respect of emergency dental, medical or surgical treatment. (a)I agree to my child taking part in this excursion. I agree to my child receiving emergency dental, medical or surgical treatment INCLUDING BLOOD TRANSFUSION/anaesthetic, as considered necessary by the medical authorities present. I understand that all activities are covered by The City of Edinburgh Councils Public Liability Insurance but that there is no insurance for personal accident.DateSigned by Parent or GuardianOR(b)I agree to my child taking part in this excursion. I agree to my child receiving emergency dental, medical or surgical treatment/anaesthetic, as considered necessary by the medical authorities present WITH THE EXCEPTION OF THE ADMINISTRATION OF BLOOD OR BLOOD PRODUCTS. I accept full legal responsibility for this decision and release the City of Edinburgh Council and its staff from any liability for any consequences resulting from my decision not to consent to the administration of blood or blood products. My child carries an advance medical directive document which informs the appropriate medical authorities accordingly. I understand that all activities are covered by The City of Edinburgh Councils Public Liability Insurance but that there is no insurance for personal accident.DateSigned by Parent or GuardianRevised 06/10/04  CHILDREN AND FAMILIES SECTION E TO BE RETAINED BY PARENTS / GUARDIANS Dates and estimated times of departure  FORMTEXT       Destination of Excursion  FORMTEXT       Description of Activity  FORMTEXT       Member of Staff responsible for Excursion  FORMTEXT       Member of staff in charge of group  FORMTEXT       Telephone number  FORMTE,. 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