The Perse School
 

Perse Prep Entrance Test

Visitor Consent & Medical Form

Please complete the form below if you have received an email from the Prep inviting you to an entrance test day.

Fields marked with an * are required

Emergency Phone Contact

Please give a phone number where you can be reached during your child's assessment.

Please give details below if your son or daughter suffers even mildly, from any medical condition, or has suffered from or been in contact with any contagious or infectious diseases during the three months prior to the visit. If he/she is taking any medication, please give details, including whether or not it can be self-administered. If your son/daughter has a medical condition or allergy that is life threatening and requires emergency medication, please could you ensure that it is provided for the visit.

Please read the following declaration and check the box below to agree to the statements below:

I agree to allow any of the school staff to administer the medication(s) listed above for minor ailments and to administer first aid should the need arise. I further consent to the giving of any urgent medical or surgical treatment to my child which is considered necessary by medical authorities during the visit. I understand that in the case of accident or serious illness all reasonable attempts will be made to contact me as soon as possible.

I hereby consent to the attendance of my son/daughter at The Perse School, and hereby authorise staff to act in loco parentis.

Medical and dietary data captured in this form will be deleted from the School’s records in the week after the entrance tests.

All other information that you provide to us on this form will be kept on our database. You can opt out from receiving communications from The Perse at any time. We would like to let you know about events, such as open days, and send you very occasional updates about the School. Please tick the box below if you do not wish to receive further communication from The Perse.

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