Junior Parental Permission Form Student Details First Name * Family Name * Gender * Male Female Nationality * First Language * Date of Birth * Passport Number * Passport Expiry Date * Parent’s Details (emergency contacts) Parent 1 Title * Mr Mrs Miss Ms Mx Dr First Name * Family Name * Relationship to Child * First Language * Level of English * Address * Mobile Phone * Email * Parent 2 Title Mr Mrs Miss Ms Mx Dr First Name Family Name Relationship to Child First Language Level of English Address Mobile Phone Email Medical Emergencies The authority of a parent/guardian is required before emergency medical, surgical or dental treatment can be carried out in the event of a serious accident or illness. To avoid delay in arranging emergency treatment if permission cannot, for any reason, be obtained, we recommend permission is given to ETC in advance by declaring authority on this permission form. I give permission for the senior staff at ETC International College to arrange emergency medical, surgical or dental treatment for my child if necessary I confirm I have disclosed all medical problems on the enrolment form If not, please add details here: Doctor's Information Details of student’s doctor in their home country: Title Mr Mrs Miss Ms Mx Dr First Name Family Name Address Mobile Phone Email When did your child last have a tetanus injection? Date I give permission for my child to be registered with a doctor (General Practitioner) in the UK Yes No Transportation ETC strongly recommends students aged 13 and under use ETC’s door-to-door transport between the student’s accommodation and the School, which is automatically included in the individual Junior Programme for students aged 13 and under. However, if you wish to make your own travel arrangements for your child please tick the relevant boxes below. Please note an airport transfer is compulsory for junior students under 16 travelling unaccompanied by an adult. Travel Arrangements I wish to make my own arrangements for the transport between my child’s accommodation and the School I wish for my child (aged 13 or under) to opt out of door-to-door and use unsupervised public transport I wish to make my own arrangements for transport from and to the airport for my child (16+ only) I understand that to fulfil their programme my child may travel using public transport, licenced taxi and/or a coach hired or owned by ETC International College with a driver that is authorised by law and insured to drive. I understand that students may be unsupervised when using public transport. I understand that 14-17 year olds in homestay accommodation will travel independently to and from school. I understand that to fulfil their programme my child may travel using public transport, licenced taxi and/or a coach hired or owned by ETC International College with a driver that is authorised by law and insured to drive. I understand that students may be unsupervised when using public transport. I understand that 14-17 year olds in homestay accommodation will travel independently to and from school. Activities and Excursions Activities and Excursions I give permission for my child to participate in the ETC junior activity programme which takes place on and off ETC premises using transport arranged by ETC where necessary. I understand that the supervision of my child can be either close or remote I give permission for my child (aged 16 or 17) to attend activities and excursions provided by ETC where they will not be closely supervised Accommodation (please tick as appropriate to the booking) Accommodation Tickboxes My child understands that he/she/they must follow the rules of the accommodation I agree for my child to stay in homestay accommodation, arranged by ETC International College I agree for my child to stay in residential accommodation, arranged by ETC International College I / my representative will be making my own arrangements for my child’s accommodation. Door-to-door transportation will not be included. I understand that a supplement for any meals provided at the School and welfare/security checks of the accommodation (DBS) will be included in the invoice automatically The details of accommodation are as follows: Full name of responsible adult in the accommodation aged at least 21+ years of age: Date of Birth Relationship to the child Address Mobile Phone Email Supervision Students under 18 years old are minors in UK law. If your child is 16 or 17 and is studying on an adult course, he or she may not be supervised outside of lesson time. Students aged 14 & 15 may also have periods of unsupervision during their free time and at weekends. Students aged 15 and under must stay on ETC premises between lessons and lunch times. However, students may not be closelysupervised during these times. Supervision for Homestay Accommodation I have explained to my child that they must partake in all elements of their programme and must return to their accommodation by their curfew time, as follows: Ages 13 and under must not leave their homestay accommodation unsupervised, at any time. Ages 14 & 15 curfew: 21:00 Ages 16 & 17 curfew: 22:00 Curfews may not be extended. If you would like to set an earlier curfew for your child please email: simon@etc-inter.net I give permission for my child (aged 14-17) to leave their homestay unsupervised during their free time I give permission for my child (aged 14-17) to leave their homestay unsupervised during their free time Supervision for Residence Accommodation I have explained to my child that they must partake in all elements of their programme and must return to their accommodation by their curfew time, as follows: Ages 15 and under must not leave their residential accommodation unsupervised, at any time. Ages 16 & 17 curfew: 22:00 Curfews may not be changed. I give permission for my child (aged 16-17) to leave their residential accommodation unsupervised during their free time I give permission for my child (aged 16-17) to leave their residential accommodation unsupervised during their free time Media I understand that ETC may take photographs or video clips of students during class or leisure activities and that these images may be used in the college’s publicity or social media. I give consent for images and videos to be used in the following ways: Print material (i.e. brochures and dates and fees) Yes No Social Media (i.e. Facebook, Instagram, Twitter) Yes No ETC Website Yes No Videos (school video and promotional videos) Yes No (videos may be posted on ETC & partner websites, social media & YouTube). Adult Courses (16 & 17 year olds only) I understand that: my child will come into regular contact with other students over the age of 18 in class and during leisure activities. my child is responsible for buying their own lunch during the week. if they are located in an adult residence I understand this accommodation is self-catered and my child will be responsible for buying their own breakfast, lunch and dinner every day. there are certain British laws (e.g. related to smoking and drinking alcohol) that apply to people under the age of 18. As a consequencethere may be some leisure activities in which my child cannot take part in because of their age. I understand that ETC may reject a request for my child to go on an external excursion. Consent for 18+ I consent to my child aged 16 or 17 to be placed in classes with students aged 18 or over I consent to my child aged 16 or 17 to be placed in a residence with students aged 18 or over Declaration If any of the boxes have not been ticked, it will be assumed that I have read and understood the statements and do not give permission in these areas. I confirm all information given is correct to my knowledge. By signing this form I agree for my child’s data to be processed and shared with 3rd parties only for the purpose of securing the booking i.e. with relevant accommodation and airport transfer providers etc. By signing I confirm I am the person who holds parental responsibility and aged over 21 years (the agent is not eligible to complete this form). Full Name Telephone Relationship to the student Address Signature Parent Name (This acts as a digital signature) Date * reCAPTCHA If you are human, leave this field blank. Submit Δ
