Educational Guardianship Form

Educational Guardianship Form
Student Name
First NameLast Name
Date of Birth
MonthDayYear
Date
Autorisation

• attend the School premises in case of emergency and if deemed necessary
by the School provided that the Education Guardian informs the Parent(s)
of what has happened immediately.
• make all necessary travel arrangements including collecting the Student from
the appropriate airport or railway station and delivering them to the
School and collecting the Student from the School and delivering them to the
appropriate airport or railway station at the beginning and end of the term
• ensure the student attends school punctually each day in accordance with
the School's timetable
• collect and accommodate the student in their home in the evening and at
weekends during the school term
• collect and accommodate the student in their home in the event that the
the student is unwell and unable to attend School
• collect and accommodate the student in their home in the event that the
the student is excluded for non-payment of fees or suspended for disciplinary or
other reasons
• collect and accommodate the student in their home at half-term and during
holidays and at the beginning and end of the term if required
• arrange and, if appropriate, attend medical appointments for the student
• provide consent for the student to receive emergency medical treatment if
necessary
• liaise with the Housemaster or Housemistress or other members of the School
the staff as necessary in connection with matters related to health, welfare
and educational progress of the student
• pay all legitimate expenses incurred for the student by the School and by the
student themselves
• attend School events as well as sports fixtures, concerts, and other
performances in which the student is participating.
• receive copies of the student’s Academic Reports and Academic Progress
Grades
• receive copies of the general mailing, including invitations, medical
consent forms etc.
I, the parent/Guardian of the above-mentioned student, agree with the following statements:
This form is in reference to the educational decision making for the student above mentioned.I hereby acknowledge that I am required as a condition of our student's place at the School to appoint an Education Guardian.I acknowledge that by completing this form I am confirming the details of the Education Guardian I have appointed for the above named student while he/she is a pupil at the School. If the arrangements change, I will notify the School in writing immediately.I agree the "Authorisation" statement above.
Parent/Guardian Name
First NameLast Name
Address
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Educational Guardian Name
First NameLast Name
Relationship to the Student
Email
example@example.com
Phone Number
Please enter a valid phone number.
Date
MonthDayYear
Date
Parent/Guardian Signature
Clear
Should be Empty: