Millisle Primary School & Nursery

Running Club - P5 to P7

Mr Maitland's 'Running Club' for P5 to P7 pupils will be running (weather permitting) from Abbey Villa Playing Fields, along Abbey Road to Main Street, across to the beach and the reverse route back to Abbey Villa. We need your permission for your child to leave the school grounds during the 'Running Club' and to take part in the run to the beach. We would also ask that your consent be extended to include Term 3, should your child rejoin the 'Running Club' in Term 3.

Child's First Name

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.

I agree to extend my consent to cover Term 3 should my child rejoin the Running Club during Term 3.

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

Running Club - P5 to P7

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