Scarborough Sixth for College

Name of Student : ______

I wish my son/daughter to be allowed to take part in the taster day, and having read the information sent to me, agree to his/her taking part in the activity described.

*Please delete as appropriate. a) *My son/daughter is in good health and does not suffer from any condition requiring regular medical treatment or any complaint that may require emergency treatment. b) *My son/daughter does not require regular medical treatment but is allergic to______(e.g. Penicillin) c) *My son/daughter/suffers from ______requiring regular treatment. In the case of (c) above, prior to the activity we would like information from you giving details of the complaint, its treatment, and the name of the medication required. All such information remains strictly confidential to the member of staff in charge of the activity. d) I do not wish my son/daughter to take part in the following activities: ______e) I understand that the College staff in charge of the programme of activities will take all reasonable care of students, but I accept that there may be occasions, depending upon the type of activity, where students may not be directly supervised by staff. f) I will advise the organiser of any illness/infection suffered by my child after the signing of this form and the commencement of the activity. g) I consent to any emergency medical treatment necessary during the course of the activity.

Additional Learning Support

If your son or daughter is in receipt of 1:1 support in the classroom please discuss with your school regarding providing support for them during the Taster Day. Alternatively a parent or carer may accompany them to each taster session.

If you are providing 1:1 support for your child please insert the name and contact details of the person accompanying them here:

______

If necessary please provide additional details of their support needs:

______

If you have any concerns or queries please contact Lucy Butler, Additional Learning Support Cross College Team Leader on 01323 637106 or email [email protected]

THE FOLLOWING INFORMATION IS REQUIRED TO ASSIST THE COLLEGE WITH CONTACTING PARENTS/ GUARDIANS IN CASE OF AN EMERGENCY

Mr/Mrs/Ms ______Initials: ______Surname:______

Home address:______

______

Home tel. no.:______Mobile no:______

Work telephone no: ______

Any further information you think may be helpful to us in looking after your son/daughter.

THE ABOVE IS OUR FIRST REFERENCE IN CASE OF EMERGENCY THEREFORE IF ANY OF THE INFORMATION CHANGES, PLEASE LET US KNOW.

When completed this form should be returned to Debbie Holman, please sign and either: POST to: Debbie Holman, Schools Liaison, Sussex Downs College, Cross Levels Way, Eastbourne, East Sussex BN21 2UF OR SCAN and EMAIL to: Debbie Holman at [email protected]

Signature of Parent/Guardian: ______Date: ______