Parental Consent Form 2020-21 Camborne Science & International Academy
Data Protection. The information collected on this form will only be used for the purpose of school administration of visits and journeys under DfE guidelines. The data will not be disclosed to any external sources other than in an emergency, or to the local authority, without your written consent.

Details of visits: All trips, visits and PE fixtures from 1 September 2020 to 31 August 2021.

For any changes to contact details since the start of the academic year, please use the Change of Details Form found on the school website to inform us of any changes.
Student Name *
Tutor Group *
I confirm that my child has a diagnosis of asthma and uses an inhaler when required. In an emergency I give permissions for my child to use a school emergency inhaler *
Can he/she swim 50 metres? *
I am happy for my son/daughter to be transported between the CSIA Main Campus and the Nexus Campus in a CSIA minibus if required *
Parental Consent
9. Insurance. Please note that there is a limited amount of cover for personal accident and loss of personal belongings through School Journey Insurance. Participants are covered by Zurich Municipal insurance in the event of negligence by one of the school’s employees or agents. Details are available on request.

i. I have read the information provided and agree to my son/daughter taking part in the above activities.
ii. I acknowledge the need for him/her to behave responsibly at all times.
iii. I understand that the staff responsible for the activities will take all reasonable care of participants.
iv. I consent to any emergency treatment necessary. I therefore authorise the party leader(s) to sign, on my behalf, any written form of consent required by the hospital authorities should medical treatment (a surgical operation or injection) be deemed necessary, provided that the delay required to obtain my signature might be considered, in the opinion of the doctor or surgeon concerned, likely to endanger my child’s health or safety.
v. I consent to my child travelling in a motor vehicle driven by a member of staff or other adult in the event of an emergency and in accordance with associated LA guidance.
vi. I understand that it is my responsibility to inform the school of changes to my child’s contact details and or personal information.
By signing your name here, you are giving consent to the above. Name of parent/carer *
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