Parent Consent Form

For Students in Classes 6–12

School Name

School Address

Student Details

Student Name

Class / Section

Date of Birth

Student ID (if any)

Parent / Guardian Details

Name of Parent / Guardian

Relationship to Student

Address

Primary Phone

Alternate Phone / Email

Permissions & Consents

Please tick (✔) the box for each item you agree to.

Participation in School Activities I give permission for my child to participate in regular classroom activities, school assemblies, and supervised on‑campus events.

Field Trips and Off‑Campus Activities I give permission for my child to attend school‑organised field trips. (Overnight trips will require separate permission).

Local Travel and Transport

I consent to my child travelling by school bus or other school‑arranged transport.

I consent to my child being transported in a staff vehicle in case of emergency.

Medical & Emergency

Emergency Medical Treatment Authorization (Required) I authorise the school to seek medical treatment and transport my child to a medical facility in an emergency.

Known medical conditions / allergies / medications:

Family Doctor / Clinic

Doctor's Phone

I authorise school staff to administer prescribed medication (provided in original packaging).

Media & Digital

Photographs & Video

I CONSENT to my child being photographed/recorded for school publications/website.

I do NOT consent to the use of my child’s image for public promotional materials.

Internet Use: I permit my child to use the school’s internet/devices under supervision.

Acknowledgement & Signature

Liability and Indemnity: I acknowledge that the school will take reasonable care to ensure student safety. I agree to hold the school harmless from liability for incidents that occur despite reasonable precautions.

Data Protection: The school will collect and store this information for student welfare and administration in accordance with data protection policies.

I confirm that I have read and understood this form, the information provided is accurate, and I give consent as indicated above.

Digital Signature (Type Full Name)

Date

Instructions: Complete all sections. Inform the school promptly of any changes to contact details.