Medical/Dietary Form (Form 4) - Residential Trips

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TRIP NAME
Please add the name of the residential trip below.
1. STUDENT INFORMATION
As stated on the passport
dd/mm/yyyy
As per the passport that holds the UAE Visa.
dd/mm/yyyy
Upload a copy of the passport numbered above.
Upload a copy of the student residence visa.

 

For overseas trips, a copy of the student’s passport and residence visa MUST be attached.

 

If you are ordering a new passport for your son/daughter prior to the trip departing please inform the trip organiser (required for insurance purposes).


2. PARENT/GUARDIAN CONTACT INFORMATION
Mother, Father etc.
Residential address in the UAE
3. EMERGENCY CONTACTS
Family, friend etc.
Home, Work etc.
Family, friend etc.
Home, Work etc.
4. DIETARY REQUIREMENTS
Please include any religious dietary requirements - i.e. Halal, no pork etc.
5. MEDICAL INFORMATION


Please include dosage of any medical/tablets, where appropriate.

Please include dosage of any medical/tablets, where appropriate.


6. CONSENT

Parents are required to read the following and add their name in the Parent/Guardian Signature field to confirm that the medical information is correct and that the information below has been read and understood.


DESC has a well-deserved reputation for being a caring school and staff will take every possible care of your child during this visit.  However, parents must understand that accidents do happen.  Please understand that DESC cannot be responsible for accidents where DESC staff have not been negligent in their care of the students or which are caused by the action of a third party who is outside the control of the College.

Furthermore, whilst staff will encourage students to take all reasonable care of their belongings, DESC cannot be responsible for the loss or theft of personal items.  We would advise that students do not take valuable items or things of sentimental value.

I acknowledge the need for safe and responsible behaviour on the part of students.  If my child's behaviour is unsatisfactory, I agree that they risk being sent home from the trip, and I understand that this will be at our own expense.

To the best of my knowledge, my child is not suffering from any medical condition that makes them unfit to participate in this visit.

I agree to my child being given medicines, which can be bought over the counter, at the discretion of the staff leading the trip; for example Paracetamol or Strepsils.

I WILL INFORM THE PARTY LEADER AS SOON AS POSSIBLE OF ANY CHANGE IN THE MEDICAL CIRCUMSTANCES BETWEEN THE DATE SIGNED BELOW AND THE COMMENCEMENT OF THE JOURNEY.