Cambridge Juniors and English Plus

Consent & Medical Form for Under 18s

Select English take your privacy seriously and will only use the data collected on this form to provide the course you have booked taking due consideration to your health and safety.

Any information you provide us with will be treated sensitively. Your information will only be shared with members of school staff who need it to ensure a safe and comfortable environment for you during your stay. At the end of your course the information will be safely destroyed. If you fail to provide information on the following items, it could have a significant effect on you.Before completing this form, please read our Privacy Policy.  It will explain the data we collect from you, why we request it and how it will be processed.


PLEASE WRITE IN CAPITAL LETTERS







YesNo

YesNo

In the event of a cold, minor injury or illness, can we give any of the following medications to you
son/daughter?


EMERGENCY MEDICAL TREATMENT

YesNo


ALLERGIES:


YesNo


GENERAL HEALTH:


DIETARY REQUIREMENTS:


ACCOMMODATION ARRANGEMENTS:

If the student is NOT staying in accommodation arranged by Select English, please provide details below:




Select English cannot accept responsibility for accommodation not booked through the school.

ACTIVITY PROGRAMME:

Participation in the activity programme is compulsory. Students can be given permission to opt out of AFTERNOON ACTIVITIES ONLY by ticking the box below. Please ensure you read the details on the next page before ticking the box.

PHOTOGRAPHY:

Select English will take photos during summer courses which will be used in publicity materials and on social media. Students will be informed before photos are taken and can choose not to feature by telling our staff. You can also let us know in advance by emailing info@selectenglish.co.uk

INSURANCE:

YesNo

YesNo

Important: After completing this form you will be redirected to a page in which you will be required to agree to our terms and sign the agreement. Please note, you must agree to the terms before you are able to sign the document.