|
To be completed before the visit. Copies to be held by the group
leader and school.
|
1. School/group name: |
| 2. Name of group leader: Home Phone No: |
| 3. Visit departure date: |
| 4. Return information: Date: Time: Location: |
| 5. Group: Total Number: Adults: Group Members: |
|
6. Contact list. Do you have an emergency contact list
for everyone in the Group? YES/NO
(If no, obtain one. If yes, attach it to this sheet.) |
|
7. Emergency contact information: |
| a. During school hours |
| Head Teacher: Tel: |
| Deputy/other: Tel: |
| b. Out of school hours: |
| Head Teacher: Tel: |
| Deputy/other: Tel: |
| Travel Company: |
| Name/Address: Tel: Fax: |
| Insurance/Emergency Assistance: Tel: Fax: |
|
Hotel:
Address:
Tel: Fax: |
| Hotel contact: |
| Other emergency numbers: |
|
