Millisle Primary School & Nursery

Fire Drill 2024 / 25 Dates to be confirmed

Child's First Name

Child's Surname

Class (Please select the correct class)

I consent to my son/daughter taking part in this activity.

I confirm to the best of my knowledge that he/she is medically fit to participate.

Any current medical condition ( if none, please state NONE)

Post medical condition e.g. following a medical procedure or illness (if none, please state NONE)

Any medication being taken (if none, please state NONE)

Any other relevant information which may affect his/her participation in the event, including allergy or dietary requirements ( if none, please state NONE)

I accept the established code of conduct for the visit and agree to the arrangements relating to my son/daughter returning home from the visit due to unforeseen circumstances.

I agree to my son/daughter receiving emergency medical treatment, including anaesthetic/ blood transfusion, as considered necessary, by the medical authorities present. I understand the extent and limitations of the insurance cover provided.

Parent /Guardian Name

Parent /Guardian Contact Number

Password (completed forms will only be accepted from parents/guardians using the correct password. The recognised password will be sent to parents/guardians who are connected to Class Dojo. Please type the password as it is given to you.)

Dates - To be confirmed

Term 1

Term 2

Term 3

LOCATION – Millisle Baptist Church

TIME - 9 .15 a.m.

The information on this form is requested for the purpose of organising the Fire Drill and Emergency Evacuation. The information is covered by the provision of the GDPR 2018. Your indication of consent for your child to participate in this event, is deemed to be an authorisation by you to allow the school to process and retain the information for the purpose stated.

Our use of cookies

We use necessary cookies to make our site work. We'd also like to set optional analytics cookies to help us improve it. We won't set optional cookies unless you enable them. Using this tool will set a cookie on your device to remember your preferences.

For more detailed information about the cookies we use, see our Cookies page

Necessary cookies

Necessary cookies enable core functionality such as security, network management, and accessibility. You may disable these by changing your browser settings, but this may affect how the website functions.

Fire Drill 2024 / 25 Dates to be confirmed

Our use of cookies

Necessary cookies

Analytics cookies