Trip consent form Details of Event/Trip/ActivityEvent/Trip/Activity(Required)Please selectEnglish - Lexonik LeapNestlé - Y13English - Poetry LiveLearner detailsName(Required) First Last Off-site TripsWill the learner have a mobile phone with them during the trip?(Required) Yes No Learner's mobile number(Required)Year group(Required) Year 9 Year 10 Year 11 Year 12 Year 13 Does the learner have any medical / dietary requirements?(Required) No Yes, medical Yes, dietary Please give details for the medical requirement/s(Required)Please give details for the dietary requirement/s(Required)This field is hidden when viewing the formMacbeth TheatreConsent and agreement(Required) I confirm that I will make arrangements for my son/daughter to be collected from the academy at 4:15pm and transported home. I understand that payment must be made by 17 January 2024 and failure to do so will result in the place on the trip being withdrawn. This field is hidden when viewing the formLiverpool Empire TheatreThis field is hidden when viewing the formConsent and agreement(Required) I confirm that I will make arrangements for my son/daughter to be collected from the academy at 5:00pm and transported home. I understand that payment must be made by 31 January 2023 and failure to do so will result in the place on the trip being withdrawn. I understand that should my son/daughter receive 75 or more negative house points between 31 October 2022 and 8 March 2023 they will forfeit their right to attend. Should this happen, a full refund will be made and their place will be offered to another learner on the waiting list. This field is hidden when viewing the formNinja Warrior / Ten Pin BowlingThis field is hidden when viewing the formLunch order(Required) Cheese Burger Meal with Fries (drink to be purchased separately for each meal) Veggie Burger Meal with Fries Hot-Dog Meal with Fries Gluten Free Chicken Nuggets with Fries This field is hidden when viewing the formCCF Field day at Swynnerton Training CampI agree to:(Required) Pick up my son/daughter from Denstone College at 17:30 on Thursday 3rd October 2024 This field is hidden when viewing the formSplash LandingsI confirm that:(Required) The above learner can swim, unaided, for at least 25M This field is hidden when viewing the formSki Trip LessonsWhat day/s is your son/daughter attending the ski lessons?(Required)Please select all that apply Friday, 23 February Friday, 1 March Friday, 8 March Wednesday, 13 March Thursday, 14 March Friday, 15 March On Friday, 23 February, I agree to:(Required) Pick up my son/daughter from The JCB Academy Pick up my son/daughter from Tamworth Snow Dome On Friday, 1 March, I agree to:(Required) Pick up my son/daughter from The JCB Academy Pick up my son/daughter from Tamworth Snow Dome On Friday, 8 March, I agree to:(Required) Pick up my son/daughter from The JCB Academy Pick up my son/daughter from Tamworth Snow Dome On Wednesday, 13 March, I agree to:(Required) Pick up my son/daughter from The JCB Academy Pick up my son/daughter from Tamworth Snow Dome On Thursday, 14 March, I agree to:(Required) Pick up my son/daughter from The JCB Academy Pick up my son/daughter from Tamworth Snow Dome On Friday, 15 March, I agree to:(Required) Pick up my son/daughter from The JCB Academy Pick up my son/daughter from Tamworth Snow Dome Revision DayAgreement(Required) I consent for the above learner to attend the revision day I understand that lunch will be provided I understand that the learner is advised to take a snack and a bottle of water Revision Day - April Half TermAgreement(Required) I understand that I am only expressing an interest for my son/daughter to attend I understand that I would need to arrange my own transport for my son/daughter to attend What dates can your son/daughter attend?(Required) Friday, 5th April 2024 Friday, 31st May 2024 My son/daughter cannot attend any of the above dates Revision Day - May Half TermRevision date(Required) The morning of Friday, 31 May 2024 My son/daughter cannot attend the above date Agreement(Required) I understand that I am only expressing an interest for my son/daughter to attend I understand that I would need to arrange my own transport for my son/daughter to attend English TuitionAgreement(Required) I understand that I would need to arrange my own transport to collect my son/daughter at 4:45 pm I understand that sessions will commence from Tuesday, 11 June 2024, from 3:45 pm to 4:45 pm Sports EDCAgreement(Required) I hereby give my consent for my son/daughter to take part in swimming sessions I confirm they will bring their swimming costume, a towel, goggles, etc. I will ensure that their swimming costume is appropriate. Volunteering for Interview EveningsWhat day/s can your son/daughter volunteer for the interview evenings?(Required) Wednesday, 13 March 2024 Wednesday, 20 March 2024 Thursday, 21 March 2024 I agree:(Required) As the person with parental responsibility I hereby give my consent for my son/daughter to volunteer for the interview evenings.. I understand that I will need to pick up my son/daughter at 18:30 Nestlé - Y13Agreement(Required) I will arrange transport to and from Nestlé (e.g., walk, bus, car share). I understand that my son/daughter must meet staff at Nestlé by 9:30 am. Drop Down Day - May 2024I understand that:(Required) learners will need to wear their normal academy uniform Emergency contact detailsPlease provide details in case of an emergency.Name(Required) DrMissMrMrsMsProf.Rev. Prefix Last Contact Telephone Number(Required)Parent/carer detailsThis form needs to be completed by a person with parental responsibility for the above child.Name(Required) DrMissMrMrsMsProf.Rev. Prefix Last I acknowledge: The need for responsible behaviour on my son/daughter’s part. In the event of serious misbehaviour before the activity, the Academy may refuse to take my son/daughter on the activity. In the event of serious misbehaviour during the activity, the Academy has the right to exclude my son/daughter from the remaining part of this activity. In either case the Group Leader’s decision will be final and I shall forfeit all monies paid in respect of the activity. I also understand that I may be requested to collect my son/daughter from the visit venue at my own expense in the case of serious misbehaviour. That any photographs or video film taken during the visit must be solely for your individual family’s use and must not be distributed more widely. Photographs may also be taken for publicity use by the Academy. I understand that if the visit is off-site it may involve travelling by coach/car/train and that the above learner needs to wear a seatbelt. I agree:(Required) As the person with parental responsibility I hereby give my consent for my son/daughter to go on the trip/event/activity. I understand that the Principal has the right to deny any learner from attending the trip/event/activity. Data ProtectionWe take spam very seriously and any personal information we collect from this website will be used in accordance with the Data Protection Act 2018 and other applicable laws. You can change your mind at any time by clicking the unsubscribe link in the footer of any marketing emails that you may receive from us in the future. For more information about our privacy practices please visit our privacy policy page on our website. CAPTCHANameThis field is for validation purposes and should be left unchanged.
