| Club Name |
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| Date travelling |
|
| Date Returning |
|
| Reason for Trip: i.e. competition / training/ social |
|
| Location (s) where activity is taking place |
|
| Name of accommodation venue being used |
|
| Name and contact number of person responsible for organising the trip |
|
| Name and contact number of person in charge of the group while away |
|
| Number of people travelling |
|
| Method of travel to the venue i.e. private cars, hired bus, train etc. |
|
| Name, student/staff/graduate no. and mobile no. of those travelling |
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| Statement: I wish to confirm that this trip will be run in accordance with the clubs safety statement |
|
| Name and contact details of person completing this form |
|
|