Fillable Dear Parent/Guardian, We are looking forward to welcoming (Capital School of English)

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Dear Parent/Guardian, We are looking forward to welcoming (Capital School of English)

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Parental Consent Form
REQUIRED FOR ALL STUDENTS
UNDER 18 YEARS OLD
Reviewed periodically
Dear Parent/Guardian,
We are looking forward to welcoming your child to our school. In line with our very high standards
of care we kindly ask you to read and complete the attached Parental Consent Form.
In the UK, a student under the age of 18 is legally considered a child. As such, all members of the
school community (staff, homestay providers, group leaders and parents and/or legal guardians)
have an extra Duty of Care.
This document is required for all students under 18 arriving from ALL countries and must be
returned to Capital School of English before travelling to the UK.
STUDENT INFORMATION
Full name of student: _____________________________________________________________
Date of Birth: ______ /_______ /______
Passport Number: _____________________________________________________________
Dates of Travel: From ______ /_______ /______ to ______ /_______ /______
PARENT/GUARDIAN INFORMATION & 24 HOUR EMERGENCY CONTACT
Please make sure we are able to use the contact details below in case of emergency.
Parent / Guardian 1
Parent / Guardian 2
Full name:
_____________________________
_____________________________
Address:
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
_____________________________
Home telephone:
(inc. country code)
+_____________________________
+_____________________________
Mobile:
(inc. country code)
+_____________________________
+_____________________________
Email address:
________________
@
_________
@
_________
Is your child travelling independently?
OR
Is your child travelling with a Group or Educational Tour Operator
(ETO)? Group/ETO Name: _________________________________
TERMS & CONDITIONS
Please check the boxes to show you have read and understood the terms & conditions below.
1.
I authorise my to travel to the United Kingdom to undertake an English language course at
Capital School of English, 324 Wimborne Road, Bournemouth, BH9 2HH, UK.
2.
I have read and understood the Student Code of Conduct as stated by Capital School of English.
3.
I have made my child aware of the Under 18 Student Code of Conduct with particular regard to
alcohol, drugs and curfew times.
4.
I have read and understood the Under 18 Photographic Release Form.
Check this box if you ALLOW the use of photographs which include your child.
5.
I have read and informed my child of the Student Guide and Code of Conduct to Living with a
Homestay Provider.
6.
I have notified the school of any medical conditions and any medication my child is taking.
7.
We/I agree to authorize any member of staff during the course of the trip to approve and/or
administer such medical treatment for my/our child as is deemed necessary in an emergency or
upon the advice of a qualified practitioner, if I/we are unable to be contacted on the
telephone numbers provided.
DECLARATION
By writing/typing your name you are agreeing to the above.
Name of parent/guardian (IN BLOCK CAPITALS)____________________________________________
Date: ______ /_______ /______
Yes
No
Yes
No
FOR OFFICE USE ONLY
Parent Consent received on ______ /______ /______ by _____________________(member of staff)
Capital School of English Student Number: 2411 ___ ___ ___ ___ ___
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Dear ParentGuardian, We are looking forward to welcoming (Capital School of English)

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Completed 8 February 2021

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