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Orton Wistow Primary School

HILL TOP INFORMATION FORM

Please complete the following information which is required for your child's forthcoming visit to Hill Top Wednesday 9th March - Friday 11th March 2022. PLEASE RESPOND BY MONDAY 31ST JANUARY 2022 AT THE LATEST - THANK YOU

PLEASE INFORM US IN WRITING IF YOU WILL BE AT A DIFFERENT ADDRESS DURING THE TRIP

Medical Conditions: Medical insurance for school residential trips does not include cover in the event of illness if participants are travelling contrary to medical advice and are not in good health at the commencement of the trip. It is important that we know of any pre-existing medical conditions, eg Asthma, diabetes, heart trouble), which may require treatment and/or any condition which may affect participation in any activity during the event.

Does your child have any any pre-existing medical conditions requiring treatment during the trip?*
Allergies. Does your child have any known allergies to drugs or other medication eg Antibiotics or plasters?*
Dietary Information. Does your child have any special dietary requirements due to medical, religious or moral reasons (ie: vegetarian)?*
Does your child have a nut allergy?*

Physical, Medical or Special Notes to Guide us:

IMPORTANT MEDICATION INFORMATION:
If your child is likely to require any medication while they are away, (Paracetamol, Ibuprofen etc) then the required medication that you would want your child to take will need to be put into SEPARATE containers/envelopes in the ORIGINAL PACKAGING AS DISPENSED BY THE PHARMACY and be CLEARLY MARKED with the following information:

Name of Child
Name of Medication (eg Calpol)
The required dose

These containers/envelopes should then be put in ONE envelope/container and SEALED. Please ensure that your child's name is clearly marked on it.

Please send these into school before THE END OF SCHOOL MONDAY 7TH MARCH 2022 so that we can have everything ready.

Medication will be collected and kept by one member of staff. Children will NOT BE allowed to sore/administer ANY medication themselves except inhalers.

We are only able to give your child the medication that YOU PROVIDE FOR THEM. If you do not send any in then we CANNOT give them anything unless we are able to contact you first.

Select one of the following*

We acknowledge that you may need to make the decision to send medication at the last moment, if this is the case please inform the school office as soon as you are aware.

If Yes, please indicate below:

If your child will require travel sickness medication for the outward journey, you will need to administer the medication on the morning of departure. Please send the medication required for the return journey into school as directed above.

If your child uses an inhaler - a spare refill MUST be included.

PLEASE ALSO COMPLETE THE SEPARATE 'PARENTAL CONSENT FOR SCHOOL STAFF TO ADMINISTER MEDICINE' FORM FOR ALL MEDICATION YOUR CHILD MAY NEED. THIS WILL BE SENT HOME AS A PAPER COPY SHORTLY.

Thank you for completing this form.

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