Parental Consent Form

We want to make sure that your child is safe and happy while studying in the UK. To help us, we ask you (the parent or legal guardian) to complete this form for any student aged under 18 who is enrolled at Anglolang.

Please note that the student will not be able to start the course until the form is received by the school.

Data protection
We promise to keep this information secure and will only give it to people who are directly involved in caring for your child on a need to know basis during the time when they are enrolled at the school, this may include healthcare and welfare professionals.

We will not pass on any details to 3rd parties to be used in marketing.

Child's Information

Child’s full name(s) *

Child’s mobile phone number

Date of birth *

Sex *

Male

Female

Non-binary

Nationality *

Passport Number or ID number if European *

Passport Expiry date *

First language *

From study date

To study date

Is your child travelling independently? *

Yes

No

If you replied NO what is the name of the Group leader?

Parent Or Legal Guardian Information

Please note that emergency telephone numbers should be available for contact 24 hours a day.

First parent or legal guardian full name(s): *

Address *

Email *

Phone *

Relationship to child *

Mother

Father

Guardian

First language *

Second parent or legal guardian full name(s):

Address *

Email

Phone

Relationship to child

Mother

Father

Guardian

First Language

Emergency contact name (if different from above)

Emergency contact number (Mobile preferred): *

Medical And Welfare Information

Please tell us about any problems. If we are not told in advance about a physical or mental condition, we reserve the right to terminate the student’s course.

Please tell us about any problems. If we are not told in advance about a physical or mental condition, we
reserve the right to terminate the student’s course.

Does your child have:

Asthma or bronchitis? *

Yes

No

Heart condition? *

Yes

No

Fits, fainting or blackouts? *

Yes

No

Diabetes? *

Yes

No

Allergies to known medicines? *

Yes

No

Other allergies? e.g. materials, food, plasters *

Yes

No

If you have replied yes to other allergies, please give more details:

Travel sickness? *

Yes

No

Bed-wetting/incontinence? *

Yes

No

Any mental health problems (including eating disorders, hyperactivity)? *

Yes

No

Special Education Needs? *

Yes

No

Does your child require regular hospital treatment? *

Yes

No

Has your child had a tetanus vaccination? *

Yes

No

If you have replied yes to any of the above please give more details: *

Will your child bring any medicines with them? *

Yes

No

Details *

In case of minor pain or illness such as headache, mild cold or sore throat, do you consent to your child being given non-prescription medication / emergency aid? *

Yes

No

Do you authorise a doctor to give any medical treatment considered necessary including the administration of an anaesthetic and operation if you cannot be contacted in an emergency? *

Yes

No

Is there any other information that Anglolang should be aware of? *

Yes

No

Details *

Parental Consent To Travel

I give consent for my child to travel to the UK and study at Anglolang Academy of English. I agree that my child can travel unaccompanied to and from Scarborough at the start and end of their course *

Yes

No

Parental Consent For Activities

I give permission for my child to go on any trips organised by the school and to take part in activities, under supervision *

Yes

No

I give permission for my child to do watersports if part of a group supervised by a group leader and in a lifeguard protected area. *

Yes

No

I give permission for my child to take part in ball games, under supervision *

Yes

No

I give permission for my child to have free time for shopping on trips arranged by the school. *

Yes

No

I give permission for my child to have unsupervised free time in Scarborough during the time between the end of classes/activities and the time of the evening meal. *

Yes

No

I give permission for child to have unsupervised free time in Scarborough in the evening after the evening meal and at weekends. *

Yes

No

I agree that my child will follow curfew times in their accommodation.

12 years and under- not allowed out unless accompanied by an authorised adult
13-14 years old: must be in a group and home by 21.00 (unless taking part in a school-organised activity)
15 and 16 years old: must go out in pairs/group and be home by 22.00
17 years old: must be home by 22.00

NOTE: If in homestay and the host requests an earlier curfew then this must be followed.

Group leaders may also request earlier coming home times.

Accommodation

I agree to my child staying in a host family organised by the school *

Yes

No

He/she understands that he/she must follow the school and house rules *

Yes

No

Curfew Times

I agree that my child will follow curfew times in their accommodation.

12 years and under- not allowed out unless accompanied by an authorised adult
13-14 years old: must be in a group and home by 21.00 (unless taking part in a school-organised activity)
15 and 16 years old: must go out in pairs/group and be home by 22.00
17 years old: must be home by 22.00

NOTE: If in homestay and the host requests an earlier curfew then this must be followed.

Group leaders may also request earlier coming home times.

Tick to agree to your child's curfew times in their accommodation *

I Agree

Photographs And Video Clips

I understand that the school may take photographs or video clips of students during class or leisure activities and that these images may be used in the school’s publicity or on its social media site.

I consent for images to be taken. *

Yes

No

I consent for images to be used in the school’s publicity. *

Yes

No

Compliance

I agree to Anglolang's Terms & Conditions and Privacy Policy. *

I agree

Are You A Robot?

Are you a robot?