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Strona 1 23rd January 2024 Dear Parents, Subject: SUZMUN Conference in Suzhou – 16th to 19th May 2024 I am pleased to inform you about an enriching opportunity for our students to participate in the Suzhou Model United Nations (SUZMUN) conference, scheduled from Friday, 17th May to Sunday, 19th May 2024. This event is not only a fantastic experience but also a brilliant platform for our students to engage in critical debates and enhance their understanding of global diplomacy and international relations. More information about the conference can be accessed here /. We are planning to travel to Suzhou on Thursday, 16th May by train, and have arranged a bus to transport the students from the school to the train station. On our return, the students will be flying back from Wuxi on Sunday evening and will need to be collected from the Capital Airport. The trip is estimated to cost approximately 6,000 RMB, covering the travel, accommodation, meals during the conference, and an additional meal on Friday evening. To secure a spot, we kindly request an initial non- refundable deposit of 3,000 RMB by Friday 23rd February. Interested students should please complete the attached form and follow the provided link for the deposit payment. Final payment will be due by Tuesday 2nd April. I am looking forward to what promises to be another successful MUN conference. Should you have any questions or require further details, please do not hesitate to contact me at [email protected]. Yours sincerely, Yours sincerely, Catherine McCaw Andrew Carey Head of History and Theory of Knowledge Politics and History Dulwich College Beijing Dulwich College Beijing Legend Garden Campus, 89 Capital Airport Road, Shunyi District, Beijing 101300, China 北京市顺义区首都机场路 89 号丽京花园 7 区, 邮编 101300 T/电话 (8610) 6454 9000 F/传真 (8610) 6454 9001 www.dulwich-beijing.cn Strona 2 Dulwich College Beijing PARENTAL CONSENT AND MEDICAL INFORMATION FORM Please complete the form below and return to Andrew Carey by Friday 23rd February 1. Visit to: Suzhou and SUZMUN conference Date(s): Thursday 16th May – Sunday 19th May I give permission for my child _______________________________ (name in CAPITALS) of Year Class_______________to take part in this residential trip and I agree to my child’s participation in the activities offered. I acknowledge the need for my child to behave responsibly and I have ensured that s/he understands there may be occasion(s) when s/he will not be directly supervised by a member of staff. 2. Contact details of parent/guardian during the time period of this trip Name: _________________________________________ Relationship to student: ______________ Telephone number(s) Mobile: _____________________________________ if different Day: _____________________________________ if different Night: _____________________________________ Email address: _________________________________________________________ Alternative emergency contact during the time period of this trip: Name: _________________________________________ Phone: __________________ 3. Medical information about your child a) Any conditions requiring medical treatment, including medication? YES/NO If YES, please give brief details: _______________________________________________________ _______________________________________________________ _______________________________________________________ b) Does your son/daughter suffer from any known allergies e.g. YES/NO medication, insect bites, food etc? If YES, please specify: _______________________________________________________ _______________________________________________________ _______________________________________________________ Legend Garden Campus, 89 Capital Airport Road, Shunyi District, Beijing 101300, China 北京市顺义区首都机场路 89 号丽京花园 7 区, 邮编 101300 T/电话 (8610) 6454 9000 F/传真 (8610) 6454 9001 www.dulwich-beijing.cn Strona 3 c) Is there anything else relating to your child’s health that we YES/NO should know about in relation to this visit? If YES, please specify: _______________________________________________________ _______________________________________________________ _______________________________________________________ d) Please outline any special dietary requirements of your child: _______________________________________________________ _______________________________________________________ _______________________________________________________ e) When did you son/daughter last have a tetanus injection? _______________________________________________________ f) Preferred medical facility in Beijing (if applicable)? Please specify: BJU YES/NO SOS YES/NO Other: _____________________ g) I consent to my child being given over-the-counter pain reliever and/or fever reducer medication without specific prescription from a medical practitioner? Please specify: Paracetamol YES/NO Ibuprofen YES/NO Other: _____________________ ✓ I will inform the visit leader as soon as possible of any changes in the medical or other circumstances between now and the commencement of the journey. ✓ I agree to my child receiving medication as instructed and any emergency dental, medical or surgical treatment, including anaesthetic or blood transfusion, as considered necessary by the medical authorities present. 4. Insurance Dulwich College International has a group wide travel insurance plan covering students and staff members of Dulwich College Beijing. The plan covers medical evacuation & repatriation, as well as medical expenses. Lost or stolen property is not covered. Legend Garden Campus, 89 Capital Airport Road, Shunyi District, Beijing 101300, China 北京市顺义区首都机场路 89 号丽京花园 7 区, 邮编 101300 T/电话 (8610) 6454 9000 F/传真 (8610) 6454 9001 www.dulwich-beijing.cn Strona 4 Details of Dulwich College Beijing’s Group Travel Plan for 2023-2024 are below: 1 Territory of Coverage: Worldwide (excluding the cities of permanent residence) 2 Insured Persons: students and teachers & parents travelling with the students 3 Age Limit: 6 months to 80 years 4 Sums Insured: • Accidental Death & Disability: RMB200,000 • Sudden Death: RMB50,000 • Medical Expenses: RMB500,000 (Sub-limit of sickness medical reimbursement for domestic travel in China: RMB1,000) • Medical Evacuation & Repatriation: Unlimited • Repatriation of Mortal Remains: Unlimited (Funeral Expenses are limited to RMB20,000) • Trip Cancellation: RMB10,000 • Trip Curtailment: RMB10,000 • Travel Misconnection: RMB3,000 (RMB350 for each 12 hours period of delay) • Travel Delay: RMB3,000 (RMB350 for each 6 hours period of delay) • Travel Disruption: RMB5,000 • Travel Baggage Delay: 800 for each 4 hours period of delay • Travel loss of personal belongings: RMB3,000 • Maximum covered duration for each trip (extendable to 100 days if it is emergency and critical situation): 90 • Aggregate limit per accident: RMB5,000,000 5 General Exclusions: • Same Day Travel Trips • Luggage delay, loss or damage are not covered under your plan • Trips within cities of permanent residence • All sports in professional capacities • Diving, Parachuting, Skiing, Water-skiing, Paragliding, Hunting, Rock/mountain climbing, Abseiling, Hang gliding, Caving, Racing other than on foot, Winter sports, Wushu, Rassling, Stunt, Bungee Jumping, Karting and any other similar activities • Pre-existing medical conditions Legend Garden Campus, 89 Capital Airport Road, Shunyi District, Beijing 101300, China 北京市顺义区首都机场路 89 号丽京花园 7 区, 邮编 101300 T/电话 (8610) 6454 9000 F/传真 (8610) 6454 9001 www.dulwich-beijing.cn Strona 5 You may feel it is prudent to ensure your child is more fully insured. If you have personal insurance, therefore, please provide details of your child’s medical insurance policy: Insurance company name Insurance policy number Insurance company emergency phone number I confirm that the destination(s) of this visit is covered by this policy. (please sign your initials) I confirm that this policy covers all activities included in this visit. (please sign your initials) ✓ Whilst I understand that all possible safety measures will be taken, in the unlikely event of an accident, I release, waive and hold harmless the teachers, staff and directors of Dulwich College Beijing and Dulwich College Management from any claims, losses, damages or expenses which may arise during or after the trip. ✓ I agree to my child taking part in this visit and have read and understand the information provided. ✓ I acknowledge the need for my child to behave responsibly, and I understand and accept that should the Visit Leader believe that my child’s behaviour poses either a threat to the group’s safety or to the College’s reputation my child will be returned to Beijing at the first available opportunity and at my expense. ✓ By signing this form I agree to pay the full amount of the visit as stated in the information provided. Parent’s signature: ___________________________________________Date: _________________ Name (in BLOCK letters): ________________________________________________________________ Legend Garden Campus, 89 Capital Airport Road, Shunyi District, Beijing 101300, China 北京市顺义区首都机场路 89 号丽京花园 7 区, 邮编 101300 T/电话 (8610) 6454 9000 F/传真 (8610) 6454 9001 www.dulwich-beijing.cn

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