Group Check-List
Project:
Start date:
End date:
UK Vocational Partner:
Accompanying Person Details:
Name:
Date of Birth:
Passport:
Address:
Contact number (available in UK and overseas)
E-mail:
DBS check please attach copy
If the accompanying person has any health issues – please complete a medical checklist and attach
Students in the group:
Date of Birth
Tick if any declared health issues
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UK VET Provider Emergency Contacts:
1.
2.
Name:
Day Contact Numbers:
Night Contact Number:
E-mail:
Name:
Day Contact Numbers:
Night Contact Number:
E-mail:
Everything is Possible Contacts
Name: Godfrey Brown
Day Contact Numbers: +44 (0) 7970101576 or 07970065404
Night Contact Number: +44 (0) 1904 737495
E-mail: [email protected]
I confirm that
agree the flights attached can be booked and will pay any amount
over the allocated travel fee (as agreed in the contract) and will refund any moneys to Everything is
Possible if a participant does not travel or does not complete the project.
Signed:
Name:
Everything’s Possible – 81 Station Road, Upper Poppleton, York YO266PZ
Tel: 0044 (0) 1904 348843
Email: [email protected] www.everythingispossible.eu
Date: