Visiting Students Parental Consent Form

The Student

Student's Name *

First

Last

Date of Birth *

Class *

Academic Year *

2023/24
2024/25
2025/26

Medical and Dietary Information

NB: It is very important that we have ALL medical information that may affect your child’s ability to participate fully in class activities, including sport and class trips, and anything the homestay host needs to know to ensure your child’s wellbeing at home.

Please details any medical conditions, medication and dietary preferences *

Please insert None if there is no information to share.

Class Trip Consent

Throughout the school year, there will be a number of official class and school trips relating to the curriculum or as part of the celebration of festivals.

I understand and agree:

that the school staff and helpers will take all reasonable care of the pupils. I hereby authorise staff to make any reasonable arrangement for my child during the course of any school trip. I accept that staff cannot necessarily be held responsible for any loss, damage or injury during or arising from any activity.
that each child is responsible for his/her belongings during the course of any school trip
to pay before the commencement of any trip, all agreed expenses
that, in the event of illness or injury to my child, any of the accompanying adults may authorise medical treatment deemed necessary by a qualified medical practitioner, including anaesthetic or blood transfusion - the school will always endeavour to contact you first before any medical treatment is undertaken
to pay any costs or expenses that may arise from damage to property caused by my child and, in the event of continual and unacceptable behaviour by my child, any costs incurred in returning my child to the school or home. I have been advised of any special risks attached to any trip beforehand.
that I have been advised of any special risks attached to any trip beforehand.
that I have detailed any special medical or dietary requirements for my child.
that I consent to my child travelling on public transport and private transport with the use of seat belts, where appropriate.

off-site consent *

Yes
No

Off-site Consent

It is possible to leave the school site during break-times for classes above eight with parental consent.

I hereby give my consent for my child to leave the school site unsupervised during break-times, where considered appropriate by staff. I understand that permission to leave the school site during break-times may be withdrawn as a safety or disciplinary measure. *

Yes
No

Accident Emergencies

In the event of an accident emergency the emergency services will be contacted. You will also be contacted on the emergency number you supply below. In the event that you cannot be contacted you give consent for any treatment recommended by the emergency services to be administered. This remains in effect for the duration of the child’s education at the school unless you advise otherwise.

I hereby give my consent consent for any treatment recommended by the emergency services to be administered *

Yes
No

My child is allergic to the following medications *

Known chronic medical conditions *

Removal of Ticks *

Yes
No

I agree a first aider can remove ticks from my child

Image Consent

Occasionally the school takes images of children which may be used in printed or other forms of publication. In addition periodically the press may take pictures that may be published in local and national newspapers. Television crews may also take videos for use in television reports. In all instances the school will only authorise the use of these images in accordance with the school’s policy on the use of children’s images.

May we use your child’s photograph in the school prospectus and other printed publications that the school produces for promotional purposes or display boards? *

Yes
No

May we use your child’s image on the school website? *

Yes
No

May we record your child’s image on video or webcam? *

Yes
No

Are you happy for your child to appear in the media? *

Yes
No

The Parent or Guardian

Parent or Guardian *

First

Last

Relationship to Student *

Email *

Phone Number *

In an emergency, would you like us to use this number? *

Yes
No

Emergency Number *

Please provide a number to use in case of emergency.

Parent or Guardian *

First

Last

Please provide details of another person who can be contacted in case of emergency.

Relationship to Student *

Email *

Phone Number *

GDPR Agreement *

I consent to having Ringwood Waldorf School website store my submitted information.

Custom Captcha *

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