Form SOE3: Parental consent for off-site activities

Dear Parents/Carers,

We are delighted to announce the details for the upcoming residential to Grenville House Outdoor Education Centre in Brixham. The residential will take place between 23^rd and 27^th November 2026. It will consist of activities taking place over 5 days and 4 nights. To help make the trip more cost effective, we will be sharing the trip with our partner school, Starcross Primary; staff and pupils from both schools will be on the trip. Staff and pupils from both schools will mix during the activities, however we will ensure sleeping arrangements are coordinated so children only share with children from their school.

These activities include:

High ropes
Raft building
Abseiling
Climbing
Orienteering
Problem solving
Raft building

The cost of the residential will be £293 per child which includes the activities mentioned above, accommodation, meals and coach travel.

First Name*

Last Name*

Date of birth*

Special details

Please detail any information about your child’s health which may need special attention, but does not prevent them from taking part should be noted below. (For example; any allergies, any medication needed and the dosage, travel sickness, diabetes, asthma or epilepsy?)

Has your child had any relevant recent illness?*

Does your child have any specific dietary requirements?*

Do you have any additional comments?

Name of Parent/Guardian*

Address*

Telephone Number*

Approximate date of last tetanus injection:

I give permission for my child to attend this event via Coach*

Dietary Requirements*

I would like my child to take part in this visit or activity and having read the information provided agree to him/her taking part in the activities described.
I consent to any emergency medical treatment required by my child during the course of the visit.
I confirm that my child is in good health and I consider him/her fit to participate.