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Consent Form

Forms

Required

Child Full Namerequired
First Name
Last Name

I/We HEREBY DECLARE individually and jointly that:

- Discipline and Behaviour: I/We agree to support the College on matters of discipline and behaviour and to conform to the rules of the College.

- Activities: I/We agree to our child taking a full part in the College's academic and games/sport curriculum and outdoor activities.

- Medical Matters: I/We have completed the Medical Consent details below, including all relevant information about medical conditions, health problems, allergies, or disabilities which affect our child and/ or which may prevent our child from taking full part in the College's academic and games/sports curriculum and outdoor activities

Medical Declaration

I/We HEREBY GIVE THE FOLLOWING EXPRESS AUTHORITIES on behalf of ourselves and ( so far as we are entitled to do so) on behalf of our child:

- For College Staff to administer First Aid Treatment to our child as necessary

- For College Medical Staff to administer any non-prescription medication (e.g. Paracetamol, Cough Linctus, Deep Heat) as is considered necessary.

- To empower the Headmaster (or his nominated deputies) to give consent for any emergency treatment, including surgical operations and anaesthetics, should it be impossible to contact us personally

 

I/We HEREBY GIVE THE FOLLOWING EXPRESS AUTHORITIES on behalf of ourselves and ( so far as we are entitled to do so) on behalf of our child:

- Data Protection: I/We consent to the College (through the Head as the person responsible) obtaining, using and holding "personal data" including "sensitive personal data" such as medical information, to be processed lawfully and fairly in accordance with the Data Protection Act 1998 and the General Data Protection Regulations 2018, for the purposes of safeguarding and promoting the welfare of our child and ensuring that all relevant legal obligations of the College and ourselves are complied with. Privacy notices are available on our website www.ellesmere.com

 

Please complete the following information: 

 

 

Is your child currently taking medication?
Are their any medical conditions we should be aware of?
Is your child allergic to any medication, food substance, or does your child suffer any other allergic recation?
Parents Information
Thank you - 
Admissions Team

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