Millisle Primary School & Nursery

Hockey Tournament - November 2024

Your child has been chosen to participate in the Hockey Tournament at Londonderry Park, Newtownards. The team will leave school at 9.10 a.m. and return by 12.45 p.m. approximately. Please refer to your Dojo notes for further information.

Child's Forename

Child’s Surname

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

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 given to you.

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Millisle Primary School & Nursery

Hockey Tournament - November 2024

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