Emergency Contact Details: First Contact It is really important that we have two emergency contacts for your child. Please provide us with the names and contact number for two contacts. If possible, please provide more than one contact number for each emergency contact.
Details of inoculations and vaccinations(Required) Including childhood vaccinations such as MMR
Personal information(Required) Superweek staff take a real interest in each child. Please tell us anything we need to know to help us look after your child properly and to see that they get the maximum benefit from the Superweek, and to make sure that distress is not caused by a member of staff unknowingly saying or doing the wrong thing:
Parent/Guardian's Declaration(Required) I wish my child to take part in the above holiday, and I hereby authorise the Director and/or the Matron of the Superweek my child is attending to give consent on my behalf to an operation, medical or dental treatment, blood transfusion, etc. if qualified medical opinion believes any of these to be necessary in an emergency. This authorisation only applies if efforts to contact me and obtain my consent are unsuccessful.
Please tick to state that you agree with the Parent/Guardian's Declaration below.