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Dear Parent/Carer
Lunch time concert at The Grange - Midhurst
I am writing to invite your son/daughter to perform in a lunchtime concert at The Grange on
20 November 2014. The concert is for the elderly group at the centre who very much enjoy listening
to the students perform. We are asking students that are in the flute ensemble and Jazz group to
take part.
Students will be picked up by minibus at 1pm, the concert starts at 1.30pm and lasts for 30 minutes
after which the students will be taken back to College for approximately 2.20pm where they will
return to their normal Period 5 lesson.
Please can you confirm that your son/daughter is able to perform at The Grange on 20 November by
completing the reply slip and consent form and returning it for the attention of Mrs Tidbury to
student reception by Friday 7 November. If you have any queries please email me at
sally.tidbury@mrc-academy.org
Thank you for your continued support.
Yours sincerely
Mrs S Tidbury
Subject Leader Music
-------------------------------------------------------------------------------------------------------------------------------------Lunch time concert at The Grange Midhurst 20 November 2014
Student Name: ............................................................................. Form Group: ........................................
Will/will not (delete as appropriate) be able to attend the Grange lunch time concert on 20
November 2014.
Signed: ............................................................................................... Date: ..............................................
Trip to:
From (date/time):
20 November 2014
1pm
Until (date/time):
20 November 2014
2.30pm
Cost
N/A
Party
leader/department
CONTACT INFORMATION
DOCTORS DETAILS
Student name
Name of doctor
Date of birth
Doctors address
Student mobile no
Doctors telephone
number
Emergency contact
numbers during trip
Y/N
If the answer to any of these questions is yes please give details(or attach on a
separate sheet)
Asthma or bronchitis?
Heart Condition?
Fits/fainting/blackouts?
Severe headaches?
Diabetes?
Allergies to any medications?
Any other allergies?
Recent contact with contagious
diseases/infections?
Other illness or disability including any current
medical treatment?
Specific medical advice to follow in
emergencies?
Special dietary requirements?
Prone to travel sickness?
Has your child been vaccinated against tetanus
in the last 10 years?
Is your child currently having any medical
treatment/taking medication (please provide
full details)
I consent to any emergency medical treatment
necessary during the course of the visit
SIGNED:
Parent/Carer
(Parent/Carer)
Student agreement
I the above named student agree to observe the code of conduct for visits. I will do my best to ensure the safety of myself and other members
of any party. I will at all times act with courtesy and consideration for others and do my best to uphold the good name of the college.
SIGNED:
(Student)