Agreement Booklet

Please list in order of preference for contact in an emergency

Please list in order of preference for contact in an emergency

Please select one of the following:

This is only required for students at risk of anaphylactic shock, or who have a serious medication condition, eg diabetes, epilepsy, Crohn’s or Coeliac disease etc.

Parent or Guardian Signature

Student Signature

Parent / Guardian Signature

I give permission for the student named above to leave school to attend sports fixtures. I understand that this may occur during the day or after school, having been previously notified by my child. While School staff in charge of the party will take all reasonable care of the Students, they cannot necessarily be held responsible for any loss, damage or injury suffered by my child, which might occur as a result of the fixture. I also understand that whilst attending school fixtures pictures may be taken for promotional purposes and these may be published with student’s names.