Parent/guardian consent form
For your child to be able to attend the Year 10/11 Spring or Year 12 Summer University 2021 programmes, we will need all parts of this form completed and submitted by the deadline: 18th April 2021.
To make sure we can match your consent form to your child, please could you confirm their name and School/College below.
Parent/guardian/carer name and contact details.
Second next of kin contact if parent/guardian/carer is unavailable:
Family doctor's name, address and telephone number.
Note: Staff members of the Summer University are unable to administer any medication to your child. Students with longer-term medical needs should have a Health Care Plan. In this case, please email the plan with the name and school of your child to: email@example.com
If your child does not have any special requirements, please tick N/A.
During the event photographs and video filming may be taken of your child. These materials may be used in the future to promote our Summer University.
Failure to complete this form correctly may hinder your child's application to attend the Summer University. Please review the form before submitting it.