Medical & Activity Details

Please ensure your child has received all vaccinations currently recommended in your home country.
Indicate which of these vaccinations your child has received and provide dates:

Hib, Diphtheria, Tetanus, Whooping Cough
Measles, Mumps, Rubella
Hepatitis A x2
Hepatitis B x3 and Booster

I give permission:
1. For my child to be given First Aid treatment in the event of injury;
2. For my child to be given appropriate over the counter medication in accordance with the School Doctor’s instructions or a qualified medical practitioner on usage;
3. For my child to be given all emergency medical or dental treatment including vaccinations, general or local anaesthetic, surgery or blood transfusions which, in the opinion of a qualified doctor, are necessary for my child’s safety and wellbeing under the National Health Service or privately if necessary;

I give permission:
1. For my child to travel by any form public transport and/or in a motor vehicle driven by a responsible adult who is duly licensed and insured to drive that type of vehicle;

I give permission
1. For my child to swim under adult supervision;
2. For my child to take part in water sports, fairground rides, outdoor activities under adult supervision;
3. Please state any specific activities for which you do not give permission for your child to take part in;