* Required

Sense of Adventure 1-5 August

Non-Res Age 12-16

Monday 1st - Friday 5th August

This course is for children aged 12-16 years only.

Your Child's Details

Please select how old your child will be on the first day of the course.​​​​​​​​​​​​​​
Please use this format: DD/MM/YYYY​​​​​
Medical Information, AEN and Dietary Requirements

Disclosing this information assists us with staffing, grouping and ensuring the welfare of your child; it does not automatically exclude your child from a course. If we require further information we may contact you in confidence for further details.

In the event of an emergency staff will make every reasonable effort to contact a parent or legal guardian before permitting treatment to proceed as advised by the medical authorities present.

Please inform us immediately if any of this information changes after you have submitted your application form.

Please note that all medication brought on campus must be given to the Course Leaders/Coaches upon arrival. For reasons of safety, there are strict regulations for the management of medicines. We are only able to accept responsibility for drugs licensed in the UK. Please do not send medicines with your child unless prescribed by a doctor.​​​​
Please note that all medication brought on campus must be given to the Course Leaders/Coaches upon arrival. For reasons of safety, there are strict regulations for the management of medicines. We are only able to accept responsibility for drugs licensed in the UK. Please do not send medicines with your child unless prescribed by a doctor.​​​

If yes, please ensure they bring two with them. One must be given to the Course Leaders/Coaches.



Parent/Guardian Details

e.g. Mr, Mrs, Miss, Ms​​​


Emergency Contact Information

Please provide us with two emergency contacts who must be contactable for the duration of the course.

Emergency Contact 1

If yes, we will use the primary contact number listed as the emergency contact number.​​

Emergency Contact 2


Consent Agreement

Consent for attendance of off-site activities

Please tick the box if you are happy for your child:

  1. To travel by minibus/coach and take part in activities that take place off of main school premises; and
  2. To be given first aid or urgent medical treatment during any school trip or activity.

Please note the following important information before ticking this form:

  • The trips and activities covered by this consent include;
    • all visits (including residential or non-residential camp out trips)
    • adventure activities or outdoor pursuits at any time.

Terms & Conditions

All bookings are subject to the Sports & Activity Courses Terms and Conditions which can be viewed here



Course Payment

I agree to pay the total displayed below.



By submitting this application form you acknowledge that from time to time we may send you news and updates from Millfield that we think will be of interest to you by post or e-mail. You can easily remove yourself from this mailing list at any time by e-mailing ‘unsubscribe’ to media@millfieldenterprises.com or by clicking the ‘unsubscribe’ button at the end of the newsletters that you receive by e-mail.

Submit your form and proceed to payment by clicking the button below. Please note, it may take a short time to go through to the payment page, please do not leave or close the page after clicking the button.