Date: 20 to 30 August 2018
Locations: Alicante, Spain and Milton Keynes, UK
Age: 14 to 17 years
Cost: £400 (can be paid in monthly instalments)
Closing Date: Monday 23rd April 2018

Join us for a VICTA first – a student exchange with ONCE, a school for students who are visually impaired in Spain!

Leaving from Gatwick Airport, we will travel together to Spain to spend five nights at ONCE’s Alicante base. Proposed activities at ONCE include horse riding, a visit to a theme park and a day soaking up the sun at the beach.

On Saturday 25th August, the UK and Spanish groups will then travel together to the UK, where we will spend five nights at the Caldecotte Xperience in Milton Keynes. There will be plenty of time for adrenaline-filled activities such as climbing, raft-building and paddle boarding, as well as evenings around the campfire. We will also take a day trip to London to show our new Spanish friends our capital’s famous sites, including the Natural History Museum.

Finally, we will wish the Spanish group ‘un buen viaje’ as we all depart Milton Keynes after breakfast on Thursday 30th August.

Applications are open now for you to be a part of our first ever exchange trip via our online form below. You must also complete and return a parent consent form for each applicant. The form can be downloaded below and completed consent forms can be sent by post or emailed to

For more information call 01908 240831 or email

Closing date: Monday 23rd April 2018


Why apply?

  • A great opportunity to meet other visually impaired people your age
  • Grow in confidence through semi-independent international travel
  • Be a part of VICTA history in our first exchange trip
  • Increase your mobility and independence skills
  • A chance to learn and practice some basic Spanish
  • An opportunity to form international friendships
  • Gain all of this while having a fun trip in a supportive, encouraging environment

Who can apply?

You must be:

  • Blind or partially sighted
  • At least 14 years old on 20 August 2018
  • Aged 17 or under on 30 August 2018
  • Willing and physically able to take part in walking tours over uneven ground, including steps
  • Able to maintain your own personal hygiene
  • Have attended a previous UK based VICTA activity

Download a Parent Consent Form

VICTA Cultural Exchange Application Form 2018

Fields marked with a * are mandatory.

Note for applicants completing this form

After completion, if you have successfully submitted the form, you should receive a successful submission message. If you do not it may be because you have not completed a required field. Fields which have not been completed will then be marked with the message 'This is a required field' so you may wish to search this.

After your form has successfully gone through you will also receive notification via email. If you do not receive an email please contact the office on 01908 240 831 as there may have been a problem with your application.

If you are under 18 years of age this form must be completed and signed by a responsible adult who has permission to act upon your behalf, i.e. a parent or guardian.

Applicant Details

Contact Details

If the applicant will be under 18 years of age at the time of the activity please enter the contact details for their parent or guardian.

Passport Details

Emergency Contact (EC)

About You

Medical Details

Independence Skills

In order to ensure that activities are adequately staffed we need full and accurate information about all participants. Declaring any problems will not necessarily exclude you from being accepted on an activity but will enable us to put the appropriate support in place. Please note we reserve the right to refuse admission to the activity or ask a participant to leave the activity if the information given proves inaccurate or the conduct of the participant reaches an unacceptable level.

General Information

The overall theme of this activity is about having fun, but we would like you to gain confidence and develop life skills through a programme of leisure, cultural and social activities. There may be times when you are expected to be fully independent and staff / volunteers will not be overseeing you (participants usually help each other at these times) e.g. moving between workshops or to the dining room. To help us plan our activities and staffing levels please describe your ability in the following areas:

Photographs and Filming

Photographs and video footage may be taken during our activities. These will be used to create photo albums both on our website and on social media after the activity to share with family and friends and to promote the activity. VICTA may also use any photographs or video material taken during an event for the future marketing, publicity and fundraising of activities.

Once you have a place on the activity, you will be informed by email along with the other successful applicants. It is normal practice for us to CC all applicants so that you can all see who is attending and make contact if wished before the activity. If you do not wish us to share your email address with others on the email please tick the box below.

Declaration, privacy and consent

To be signed by the applicant or if the applicant is aged under 18 by a parent or guardian.

This form has been completed accurately and I undertake to update VICTA should any of the information in this form change.

a. I/the applicant agree(s) to take part in VICTA's activity and have read all the information sent.

b. I/the applicant acknowledge(s) the need to behave responsibly at all times during the activity.

c. I/the applicant confirm that this form has been completed accurately and I/the applicant undertake to update VICTA's organisers should any information contained on the form or personal circumstances change.

d. In the event of an emergency/accident, I/the applicant consent(s) to emergency medical treatment, which may include the use of anesthetics.

By signing this form you consent to VICTA using the information supplied for the purpose of administering the named event. All the information will be treated in the strictest of confidence and made available only to those staff working with the participant. Contact information will be retained and used for marketing of other relevant services.

I/the applicant give(s) consent for VICTA to carry out the following in accordance with the Data Protection Act (1998) and to store my personal information on VICTA's database and/or any other suitable system.

I/the applicant agree(s) to provide any relevant additional information such as the applicant's CVI with the application.

Agree to payment and T&C's

Cheques must be made payable to VICTA and posted to:
VICTA Children Ltd
5 Douglas House
32-34 Simpson Road
Fenny Stratford
Milton Keynes

If you wish to pay by card over the phone please call us on 01908 240831.

PLEASE NOTE: After you click submit the form will be hidden and you should receive an on-screen successful submission message. You will also receive a confirmation email. If you do not it may be because you have not completed a required field. Fields which have not been completed will then be marked with the message 'This is a required field' so you may wish to search this.