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form
Welfare & Parental Consent Form
Welfare & Parental Consent Form
Contact Details
Parent / Guardian Name
Contact Email
Home Phone Number
Mobile Phone Number (Parents)
Student Details
Student Name
Date of Birth
Current Age of Child
Mobile Phone Number (Student)
Arrival
Departure
Parental Consent
I hereby give my consent to my child (named above) to
Travel to the island of Malta on his or her own and participate in a language journey with Maltalingua School of English:
– Seleccionar –
Yes
No
I agree to allow my child to join in all age appropriate activities and excursions organised by Maltalingua or third parties contracted by Maltalingua.
– Seleccionar –
Yes
No
I grant my permission to use the photographs taken by Maltalingua at school or on school activities for use, including but not limited to: publicity, copyright purposes, illustration, advertising, and web content.
– Seleccionar –
Yes
No
Participate in motor powered activities such as water skiing, jet skiing, banana boat rides and crazy sofa rides. I agree that Maltalingua may not be held liable for accident or injury as a result of my child partaking in such activities:
– Seleccionar –
Yes
No
Family Programme
I confirm.
I understand that if I am late to the meeting point, I'll have to make my own way to the Junior School.
Medical Conditions
Does your child suffer from any conditions requiring medical treatment?
None
Asthma
Diabetes
Psychological Disorders
Sensitivity to Sun
Other…
Enter other…
Does your child suffer from any allergies or intolerances?
None
Pollen
Medicines
Food
?
Drinks
Other…
Enter other…
Is there any food which your child will not eat (please include medical or religious reasons) or is your child vegetarian? (if yes, please give details)
– Seleccionar –
Yes
No
Details
Is your child taking medication of any kind? (if yes, please give details)
– Seleccionar –
Yes
No
What medication is your child taking?
How often should this be taken?
Does your child need assistance taking the medication?
Does your child carry a medical emergency kit with medication in it? (if yes, please give details)
Has your child had an operation within the last 12 months? (if yes, please give details)
– Seleccionar –
Yes
No
Details
Safety
Can your child swim without swimming aids?
– Seleccionar –
Yes
No
I hereby give my consent to Maltalingua to take my child (named above) to Mater Dei Hospital in the event of any acute medical and/or surgical emergency.
– Seleccionar –
Yes
No
For Responsible Minors Aged 16 and 17 Only
Parents consent to give their 16 or 17-year-olds greater freedom and to choose to opt-out of specific school excursions and activities. It is important to note that minors will be unaccompanied during these times. Students must still inform Maltalingua staff of their plans and return at the agreed times.
If your child is aged between 8 - 15 they are not allowed to opt-out of our activities or change their allocated curfew times, so please select no.
Opt out of specific optional school activities - For minors Aged 16 and 17 only
– Seleccionar –
Yes
No
Opt out of recommended curfew times - For minors Aged 16 and 17 only
– Seleccionar –
Yes
No
Data Protection
I have read the
Privacy Policy
and consent to Maltalingua processing my child's data, including health and medical information, for the duration of their stay and any subsequent record-keeping period required by law.
I confirm that the details provided are correct. I understand that Maltalingua reserves the right to send a student home should a situation arise during their stay as a result of parents/guardians having failed to fully and accurately answer the above questions.
Name
Date
Signature
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