Contact details and medical emergency form

Contact details and medical emergency form

Your child's safety is our priority. This form is designed to collect important contact details and medical information so we have everything we need in the event of an emergency.

This form must be completed by the parent or guardian of each pupil ahead of their initial taster session and at other times when this link is provided.

Contact details and medical emergency form

Child's details

If your child has not yet started at Rydes Hill please state N/A

Please tick the appropriate box to show the child’s ethnic group (please only tick one box). We have a legal requirement to collect this information for our annual census
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Child's medical details

Does your child have any existing medical conditions including allergies?
Does your child take any regular medication or require the use of an EpiPen? 
Has your child ever had asthma? 
Has your child had an eye test within the last year? 
Does your child need to wear glasses? 
Medicines 

Except for inhalers, pupils must not carry or administer their own medicine. Guidelines from the Department of Education advise teachers not to administer medicine. If, in exceptional cases, you request a medicine to be administered, this must be handed into the school office. It must be clearly marked with the child’s name, dosage and time to be administered. You will be asked to sign a Medical Procedures form for each administration and parents take full responsibility for these administrations. All medicines must be collected by an adult at the end of each day.

In the event of your child having a stomach bug, on recovery please ensure that a period of 48 hours elapses before they return to school.

All parents are requested to complete an this form at the beginning of each academic year. It is vital that all information on this form is accurate. Please be assured that all medical records are dealt with the strictest confidence.

Parent or guardian declaration

I understand that those supervising my child are in loco parentis and must exercise a standard of care that would be expected of a reasonably prudent parent. My child is fit to participate in all aspects of the school curriculum.

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Parent and nominated person details

Parent 1

Parent 2

Who does your child normally live with?

First nominated person in loco parentis and living locally i.e. grandparent

Second nominated person in loco parentis and living locally i.e. grandparent

The information you are about to submit will be used to effectively handle your enquiry in accordance with the school’s admissions process. This may include email, phone and postal correspondence.

We promise to treat your personal details with the utmost care and will never share or sell your data to third parties.

You can read our Privacy Policy, here.