EmailMeForm
Student Activities: Trip Form
This Trip Form is to be used by Clubs and Societies at the Union of Brunel Students to plan trips and inform Student Activities.
If you have any questions please contact Student.Activities@brunel.ac.uk
Contact Details
Your Name
*
Committee Role
*
Chair, Secretary, Events Officer
Group Name
*
Hindu Society, Brunel Cheerleading
*
Sports Club
Society
Student ID Number:
*
Contact Phone Number:
*
Contact Email:
*
*IF THIS IS FOR A CLUB OR SOCIETY - ENSURE THIS IS YOUR UNIVERSITY EMAIL*
Where Are You Going?
Itinerary
The example below explains the correct format with the Post Code requirement. Please provide the departure, return and if there is a stop in between
Date:
*
Time:
*
Location
*
Date:
*
Time:
*
Location
*
Date:
Time:
Location
Activities
Pre-Trip Checklist
*
Accomodation Booked
Emergency Procedures
Finances Agreed with Union
First Aid Equipment
Members Informed and Registered
Registered Driver(s)
Transport Confirmed
Activities
*
Please provide full details of activities, e.g. Sport, Volunteering Project, Visit to Landmark
Transport Arrangements
*
14 Seater Minibus, Public/National Transport, Personal Vehicles
Do any members of those in attendance have a disability which might require additional transport or accommodation provision to be made for them and/or might require some adaptation to the activities undertaken on the trip?
*
Yes
No
If yes, please give details of the needs of the people involved and how you intend to meet those needs.
Disability Accessible room booked at accomodation
Please attach a Risk Assessment for this Trip
*
Add File
All Activities require an extensive Risk Assessment. Please find a Risk Assessment Template in the link below, complete it to the best of your knowledge and upload it.
https://brunelstudents.com/resources/
Who Will Be Going?
If there are not enough rows for the number of participants, please email student.activities@brunel.ac.uk with each required detail.
Disclaimer: by completing these details on behalf of the participants, each participant consents to providing this information in case of emergency. These details will be deleted 14 days after the return date.
*
Full Name
Student ID Number
Next of Kin Full Name
Next of Kin Relationship to Participant
Next of Kin Emergency Contact Number
Activity Leader
Activity Leader
Driver
Driver
Participant
Participant
Participant
Participant
Participant
Participant
Participant
Participant
Participant
Participant
Participant
Participant
Participant
Participant
Participant
Participant
Participant
Further Information
Hotel Contact Number, Hotel Name
If a club or society, all trip arrangements and expenditure should be agreed and authorised by Student Activities before the trip is confirmed and any bookings made. This form and any other information relevant to the trip (attached to this sheet) should be submitted to Student Activities prior to the departure.
I confirm that the above details are correct and I have assessed the risks of this trip and have taken precautions. If relevant make sure each member has the appropriate insurance or personal plan in place.
Your Signature
*
Clear
