International Award Contact Information 2017- 2018 - Bronze
Please complete this document with as much detail and as fully as possible. Please do not hesitate to contact a member of staff about any concerns you might have in answering these questions.
Please scroll to the bottom of the page and answer ALL questions.
I would like my child to take part in the expedition the following date
Student Information
Family Name of Student
Your answer
First Name of Student
Your answer
Student I.D. Number ( This is on your student card and begins with STU)
Your answer
Sex
School E-mail Address
Use ONLY your school email address. Please make sure the spelling is correct
Your answer
Student Mobile Number
Your answer
Date of Birth (DD/MM/YYYY)
Your answer
Do you have a concession card for the Swiss Railway system (CFF/SBB) or Geneva Public Transport System (TPG)
Student Medical Information
Please complete this section as fully as possible. If you are in doubt about whether you should include any information please contact the school to discuss.This information will be used when students are on Adventurous Journeys, it is vital that staff have current and relevant medical knowledge before students leave on each expedition. Any changes that occur during the year must be sent directly to The IA staff.
Do you suffer from any of the following?
Select all that apply and then give details in the following information box.
Information about asthma, diabetes or allergies
If you have indicated you suffered from any of the above please give details.
Your answer
Other Important Medical Information (Required Question)
Please outline information about any other medical condition, and provide all important details. If none then please enter "none"
Your answer
Parent or Guardian Information
(If you enter more than one Parent or Guardian, information will be sent to both)
Name of Parent/Guardian 1
Your answer
Name of Parent/Guardian 2
Your answer
Email of Parent/Guardian 1
Please make sure the spelling is correct
Your answer
Email of Parent/Guardian 2
Please make sure the spelling is correct
Your answer
Mobile Number of Parent/Guardian 1
Your answer
Mobile Number of Parent/Guardian 2
Your answer
Home Phone Number of Parent/Guardian 1
Your answer
Home Phone Number of Parent/Guardian 2
Your answer
Emergency Contact Information
This should be the name of another person/friend you know in Geneva who we can contact should parents be unavailable, for example during an expedition weekend.
Name of Emergency Contact
Your answer
Emergency Contact Phone Number
Your answer
Doctor's Name
Your answer
Doctor's Telephone Number
Your answer
From time to time we display photographs of expeditions and other International Award events on the LGB International Award website. Please check the box below if you do not wish any recognisable images of your child to be used in such away.
(Please note students will never be personally identified if their image is used in this way.)
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