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ICE Field Trip Form

Geography Student Health and Safety Form, Primarily for Field Trips

It is very important that we hold current details about your health, medical conditions and disabilities when you participate in field trips. This helps us to ensure the trip allows for your needs. Along with your contact details and your next of kin's contact details, it allows the teaching team to assist you and the Emergency Services if necessary, allows your nominated emergency contact to be contacted quickly if needed, and allows field trip staff to contact you during a field trip. We will also use the information you provide for travel insurance purposes, so please ensure that this information is as accurate as possible.

Please talk to your field trip leader if you have any worries about attending a field trip, whether or not you have detailed your worries or needs in this form.

NB: Please be aware that the information you provide us will be shared, in confidence, with the education and administration teams, the team leading your field course as well as trip providers such as hotels/caterers/activity providers. 

Current Information

If any of your details change, it is your responsibility to resubmit the form with your current information. Every year we will ask you all to recomplete the form, as we understand many of your details will change year to year.

Code of conduct

Please read the Geography Undergraduate Health and Safety Code for Off Site Activities

Your details
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*
*
* Female Male In another way
*
*
* / /
*
*
*
*
*

Next of Kin Information (person to contact in case of emergency)
*
*
*

Doctor’s Information
*
*
*

COVID-19 Considerations
? Yes No
? 1 2 3 4 5 More than 5

March 2024 International field trips for final year BA and BSc students
Yes No
?
Yes No
Yes No

General health & safety Information
* Yes No
* Yes No
* Yes No
* Yes No
* Yes No
* Yes No
* Yes No

Medical conditions and disabilities
* Yes No
* Yes No
* Yes No
* Yes No
* Yes No
* Yes No
* Yes No
* Yes No
* Yes No
* Yes No
* Yes No
* Yes No
* Yes No
* Yes No
* Yes No
* Yes No
* Yes No
* Yes No
* Yes No
* Yes No
* Yes No
* Yes No
* Yes No
* Yes No
* Yes No
* Yes No
* Yes No
* Yes No
* Yes No
* Yes No
* Yes No
* Yes No
* ? Yes, I have disclosed everything

Geography Undergraduate Health and Safety Code for Off Site Activities
* Yes, I agree

Please speak to your field course leader about any health and wellbeing concerns you have around fieldtrips, whether or not you have detailed these worries and needs in this form. Please do this as soon as you know you will be going on a trip.