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appendix VII33www.rockleyadventure.coM 01202 677 272Safety QuestionnairePlease complete the form and return it to.................................................as soon as possible and no later than .................................................NameDOBAgeMale/Female1 - No Sailing Experience2 - Limited Sailing Experience3 - Some Sailling ExperiencePupil Details:Please use the space below to provide further information regarding sailing experience if required (please note that this is only required where the group will be taking part in the Sailing Courses)..................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................1 - Non Swimmer2 - Weak Swimmer (up to 50m)3 - Competent Swimmer (50m+)Swimming Ability:Please use the space below to provide further information regarding swimming ability if required..................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................1 - None2 - Vegetarian*3 - Special**Dietary Requirements:Please use the space below to provide further information regarding dietary requirements (NOT likes or dislikes please!) * for vegetarians please specify if eggs, cheese etc are acceptable ** for special diets please give as much information as possible; where a diet is particularly restrictive it would be helpful if you could provide a sample menu plan and it may be advisable to pack specialist foodstuffs for the trip as these may not be readily available eg gluten - or dairy-free diets....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................

appendix VIII34www.rockleyadventure.coM 01202 677 272Emergency ProcedureIn the first instance for any medical problem, always contact a local doctor. For any subsequent problems ring FOGG ASSIST on: +44 (0) 845 658 9899The prior approval and consent of FOGG ASSIST must be obtained before expenses are incurred. They must be contacted immediately in the event of any serious injury or illness abroad which necessitates admittance to hospital as an in-patient or before any arrangements are made for medical repatriation or emergency visits from or return to the UK as provided for in the insurance policy.FLOW CHARTThis is used by our staff and is for your information. We would be pleased to include any other procedures you/ your school/LEA feel appropriate.Stop activityCheck the rest of the group is safeIf possible deal with the injury / incidentIf you cannot deal with the injury/incident seek helpReport the incident to the Group Leader and Centre ManagerFill in the accident book/Major Accident/Incident FormEvaluate the reason for the accident to prevent similar occurrence if possibleComplete written report in centre log