RWS Lower/Middle School Consent Form – Ringwood Waldorf School

Pupil Name

First

Last

Class

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Medical and Emergency Contact Information

Primary Contact Person

First

Last

Please provide the primary contact person's details in an emergency

Primary Contact Person Email

Primary Contact Person Phone #One

Primary Contact Person Phone #Two

Secondary Contact Person

First

Last

Contact person's details in an emergency in case the Primary contact person is unavailable

Secondary Contact Person Email

Secondary Contact Person Phone #One

Secondary Contact Person Phone #Two

Family Doctor

Family Doctor Name

First

Last

Surgery Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Surgery Phone

Medical Information

Pupil Medical Information

Details of any medical condition that my child suffers from and any medication my child should take during off-site visits.

Changes to Medical Information

I understand that if there is any change to the medical information required for the school to care for my child, I will contact the school directly and advise them.

Other Information

Please provide any other information that may affect the safety of your son/daughter or any other persons and/or the organisation and success of the event.

Parental Consent

I hereby give my permission for my child to participate in educational visits, school activities or field trips during their time in the Ringwood Waldorf School

Acknowledgement of Risk

Inherent risks are associated with any activity and by granting permission for my son/daughter to participate I acknowledge that such risks exist. However, I believe that the opportunity for learning outweighs these risks and I herby grant permission for my son/daughter to participate. I am aware that I can ask to see the risk assessment of any trip if I am concerned.

GDPR Agreement

I consent to having RWS website store my submitted information.

Any data collected on this form will be used solely for the care of your child. We will not contact you for any other purpose unless you give your express permission. Ringwood Waldorf School will not share any data with a third party unless strictly necessary for the care of your child or we are legally required to do so. Please read our full data protection privacy notice and policy.

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