Emergency Contact Information
To be completed before the visit. Copies to be held by the group leader and school.
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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: |
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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.) |
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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: |
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Hotel: Address: Tel: Fax: |
| Hotel contact: |
| Other emergency numbers: |