Consent Form

Please complete all sections of the below form.

Information given is confidential and will only be used as per the terms of our Privacy Notice, which you can find on our Policies and Documents Page.

When completed tick the confirmation box and the information will be submitted to our Marketing & Admissions Officer.

Pupil First Name(s)* Surname* Date of Birth Home Address*

Please provide Emergency Contact details that are not your own. E.g provide details of another parent/grandparent etc.

Emergency Contact Name (do not give your own details)* Emergency Contact Phone Number* Emergency Contact Email Address Relationship to Child Emergency Contact Home Address

Medical Consents

Do you give permission for an appropriately trained First Aider to give 'over the counter' antihistamines in the event of an emergency or incident where your child may be suffering from an allergic reaction?*YesNo

Do you give permission for an appropriately trained First Aider to administer analgesics (like Paracetamol) or other 'over the counter' medications to you child for minor ailments?*YesNo

Do you give permission for an appropriately trained First Aider to give First Aid to your child for minor ailments or injuries?*YesNo

Do you give permission for an appropriately trained First Aider to administer legally prescribed medication to your child as per General Practitioner's instructions?*YesNo

Do you give permission for an appropriately trained member of staff to accompany your child to a dental, general practitioner or hospital appointment, if necessary?*YesNo

Health & Safety Information

Can your child ride a bike without stabilisers?*YesNo

Can your child swim unaided for 25m?YesNo

Confirmations

Your Full Name* Relationship to Child Your Contact Number* Your E-mail address*

This information will be used throughout your child's time at Slindon College, should a place be offered to him and unless you inform us otherwise upon acceptance.

Confirmation*Please tick the box to confirm you agree and that the information given is accurate.