International School of Hellerup 2019 Summer Programmes Medical and Permission Form
Please fill out this form for each child you are registering.
Email address *
Parent/Guardian Name (First Name, Last Name) *
Please make sure you use the same name on this form and the payment form you complete(d) via the PayPal webshop on our website (http://ish.dk/school-life/2019-summer-programme/).
Your answer
Student's Name (First Name, Last Name) *
Your answer
Student's Date of Birth *
MM
/
DD
/
YYYY
Select the Summer Care Weeks and/or Summer Camps which you are signing your child up for. *
Required
Medical Information
Emergency Contact Information (Please include name and phone number) *
Your answer
Is your child allergic to any medication and/or foods? *
If yes, please describe:
Your answer
Is there anything else that we need to know about your child? *
If yes, please describe:
Your answer
Supervised School Excursion Permission
I give permission for my child to take part in supervised school trips off campus *
Media Release Agreement
I give permission for ISH to take photos or videos over the course of the summer programme which they may use only on the ISH online channels and in future school publications (if you have any questions or concerns, please contact the summer programme coordinator at summer@ish.dk). *
Payment
Please enter your payment details below (it would be appreciated if you complete your payment and enter the transaction ID while completing this form)
Transaction ID (Transaktionsnr - the long number at the top of your paypal receipt)
Your answer
Amount Paid in DKK
Your answer
Still have to pay?
How did you hear about our Summer Programme?
Please select all applicable channels below: *
Required

The information collected during the registration process for the 2019 ISH Summer Programme will be utilised in accordance to GDPR guidelines. We will only contact you with relevant information about the ISH Summer Programme. Please note that we use Google forms to collect personal data. While we may use your email address in the future for ISH Summer Programme updates you can request to have your data deleted at any time. For any questions please email communications@ish.dk or summer@ish.dk
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service