Educational Outing - Mudchute Park & Farm
For TechBloq students in Years 4-5 & 5-6 boys classes - Deadline for submissions: Thursday April 30th
Student's Name
*
First Name
Last Name
Parent/Carer's Name
*
First Name
Last Name
Primary Contact Number for the Trip
*
Mobile number
Secondary Emergency Contact Number
*
Mobile number
In the 'Medical and Dietary Information' field below, please type the following where applicable:
Any relevant medical conditions or allergies
Any medication that must be brought or administered during the trip
Dietary needs or restrictions
Medical and dietary information:
Consent and Acknowledgements (all must be selected for the Submit button to appear)
*
I give permission for my child to attend the educational visit to Mudchute Park & Farm.
I confirm my child will arrive at TechBloq between 8:00–8:30am and will be collected at 3:00pm.
I understand that no lessons will take place at TechBloq on the trip day for the Years 4-5 and 5-6 boys classes
Submit
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