YEAR 6 BASE PGL MULTI-ACTIVITY RESIDENTIAL TRIP

(FRIDAY 27^TH TO SUNDAY 29^TH APRIL 2012)

 

Dear Parent/Carer,

 

A provisional booking has been made to take Year 6 Base members on a PGL multi-activity residential trip from Friday 27^th to Sunday 29^th April 2012 (departing from The Base Youth Centre at 5 pm on Friday and returning at approx. 7 pm on Sunday).

 

We will be staying at Marchants Hill, which is a PGL owned and managed centre near Hindhead in Surrey. The weekend will comprise a full programme of on-site activities such as quad biking, abseiling, climbing and zip wire. A PGL leaflet is attached giving you basic information on the centre and PGL multi-activity courses. For further information, please visit their website at www.pgl.co.uk.

 

The cost of the trip will be £66.00 per child for 2 nights and 2 days away. Included in this price is:

 

• Full board, non-ensuite accommodation at Bethany House (including evening meal on Friday)
• Up to four activity sessions per day on Saturday and Sunday
• Evening entertainment provided by PGL staff
• Full comprehensive insurance

The only additional expense will be a small contribution of £5.00 towards the cost of return travel from The Base Youth Centre and spending money.

 

The trip will be run by the Year 6 Base Team in conjunction with PGL.  PGL is a first class operator with a solid reputation for organising school holidays with 50 years experience in the travel business.

 

If you would like your child to take part in this trip, please complete and return the attached consent and medical forms, along with an initial non-refundable deposit of £24.00 (correct cash in an envelope marked with your child’s name or cheque payable to The Base Youth Centre) by Friday 3^rd February 2012. The final balance of £47 will be due by Friday 24^th February 2012.

 

A parents information evening will be held nearer to the time of the trip. This will allow us to give you information about the centre, types of activities the children will be taking part in and what they will be required to bring with them. It will also provide you with an opportunity to ask any questions about the trip.

 

Places are limited so please ensure your forms and deposit are returned on time to avoid disappointment.

 

If you have any queries please contact Lindsay Graham either by phone (Mob: 07762 888340) or e-mail at shearmur.graham@tiscali.co.uk.

 

Yours sincerely

 

 

Year 6 Base Team

 

 

PARENT CONSENT FORM

YEAR 6 BASE PGL MULTI-ACTIVITY RESIDENTIAL TRIP

(FRIDAY 27^TH TO SUNDAY 29^TH APRIL 2012)

 

 

1. I give permission for _____________________________________ to attend the Year 6 Base PGL multi-activity residential trip from Friday 27^th to Sunday 29^th April 2012.
2. I am aware that I will need to drop my child off at The Base Youth Centre at 5 pm on Friday 27^th April and collect him/her from there at approx. 7 pm[1] on Sunday 29^th April.
3. I will make sure that my child is signed in and out with the leaders present.
4. I am happy for photographs to be taken of my child during the trip[2].

(Please circle)                                Yes                         No

1. I enclose payment.                       Deposit                Full Amount

(Please circle appropriate)              £24                     £71

 

Signed: _________________________________ (Parent/Guardian) Date: ______________

 

 

Print Name: ___________________________________________

 

 

Telephone number: _________________________

 

 

Please make sure that if you are paying cash that it is the correct amount and in an envelope marked with your child’s name. If you are paying by cheque please make it payable to The Base Youth Centre. Please hand deposit along with this form to Lindsay by Friday 3^rd February 2012. The final balance of £47 will be due by Friday 24^th February 2012.

 

MEDICAL FORM

YEAR 6 BASE PGL MULTI-ACTIVITY RESIDENTIAL TRIP

(FRIDAY 27^TH TO SUNDAY 29^TH APRIL 2012)

 

 

Full Name: _____________________________________                 Date of Birth: ______________

 

Home Address: __________________________________________­­­­­­­­­­­­­­­­­­­­­­­­­­­_______________________

 

____________________________________________________________________________

 

____________________________________________________________________________

 

 

Emergency Contacts:

 

1. Name: _____________________________________      Telephone Number: ______________

 

1. Name: _____________________________________      Telephone Number: ______________

 

 

Name of Family Doctor: __________________________       Telephone Number: ______________

 

Address: __________________________________________­­­­­­­­­­­­­­­­­­­­­­­­­­­___________________________

 

____________________________________________________________________________

 

____________________________________________________________________________

 

 

Are there any disabilities or special needs we need to know about?                                           Yes/No

 

If yes, please give brief details: __________________________________________­­­­­­­­­­­­­­­­­­­­­­­­­­__________

 

____________________________________________________________________________

 

____________________________________________________________________________

 

 

Any conditions requiring medical treatment and/or medication (e.g. asthma, hay fever etc)?       Yes/No

 

If yes, please give brief details: __________________________________________­­­­­­­­­­­­­­­­­­­­­­­­­­__________

 

____________________________________________________________________________

 

____________________________________________________________________________

 

 

 

 

Can any medication required be self administered?                                                                   Yes/No

 

(If medication cannot be self administered or there are any concerns about your child’s medical condition, we will contact you to discuss in more detail how your child’s participation in the trip will be managed and a separate letter will be sent to you to sign).

 

 

Please outline any special dietary requirements or food allergies: ____________________________

 

____________________________________________________________________________

 

____________________________________________________________________________

 

 

Is your child allergic to any medication or sun creams?                                                             Yes/No

 

If yes, please specify: _________________________________________________­­­­­­­­­­­­­­­­­­­­­­­­­­__________

 

____________________________________________________________________________

 

____________________________________________________________________________

 

 

When did your child last have a tetanus injection? _______________________________________

 

 

Are there any activities in which your child may not participate?                                               Yes/No

 

If yes, please specify: _________________________________________________­­­­­­­­­­­­­­­­­­­­­­­­­­__________

 

____________________________________________________________________________

 

____________________________________________________________________________

 

 

Please provide any additional information you consider helpful or important: ____________________

 

____________________________________________________________________________

 

____________________________________________________________________________

 

____________________________________________________________________________

 

____________________________________________________________________________

 

____________________________________________________________________________

 

____________________________________________________________________________

 

____________________________________________________________________________

 

 

 

 

 

 

I, the Parent/Guardian, declare all the above information is correct.

 

I will inform a Team Leader as soon as possible of any changes in the above information between now and the commencement of the trip.

 

 

Signed: _________________________________ (Parent/Guardian) Date: ______________

 

 

Print Name: ___________________________________________

 

 

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[1] To be confirmed nearer to the time of the trip.

[2] To display at the youth centre, or to be put up on the youth centre’s website. Photographs may also be used by PGL for publicity purposes.