Emergency Contact Information

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: