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Parental Consent Form for Sports Fixtures

Student's Forename *

Student's Surname *

Student's Date of Birth *

Student's Year Group *Year 7Year 8Year 9Year 10Year 11Year 12Year 13

Tutor Group *

Parent/Carer's Title *

Parent/Carer's Forename *

Parent/Carers's Surname *

Parent/Carer's Emergency Contact Number *

Parent/Carer's Email Address *

I agree to my son/daughter participating fully in sports fixtures on and off Beal High School’s site *

I agree to inform the Head of Physical Education of any changes in my son’s/daughter’s medical or other conditions or any other relevant circumstances *

I agree to my son/daughter receiving any and all emergency medical treatment, including anaesthetic and/or blood transfusion, as may be considered necessary by the medical authorities in attendance should the need arise. *

We are committed to ensuring that the personal and sensitive information that we hold about you is protected and kept safe and secure and we have measures in place to prevent the loss, misuse or alteration of your personal information.

Please confirm you have read the information above by ticking the box below . The form cannot be the submitted unless you have ticked this box. *Yes I have read the information

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LE LYCÉE BEAL FAIT PARTIE DE

Woodford Bridge Road, Ilford, Essex IG4 5LP

T: 020 8551 4954

E: admin@bealhighschool.co.uk