Millisle Primary School & Nursery

Hockey Tournament - March 2026

Child's First Name

Child's Surname

Class (Please select the correct class - P6 or P7)

I consent to my child taking part in this activity.

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 child returning home from the visit due to unforeseen circumstances.

I agree to my child 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 Number

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Hockey Tournament - March 2026

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