To ensure that a parent/guardian may be contacted if necessary - please complete the following:
Does the student have any condition requiring medical treatment? *
Does the student suffer from any allergies to foods, plants, animals, medication, etc or any phobias? *
We can cater for most dietary requirements provided that we are given notice of them on this form.
If the student has any dietary requirements e.g. vegetarian, gluten free, halal diet, please advise in the box below;
Does the student take any form of medication/use inhalers? *
If medication cannot be self-administered by the student for any reason, do you consent to a member of staff administering the medication? *
To the best of your knowledge, has the student been in contact with any contagious or infectious diseases within the last 6 months or suffered from anything that may be or become contagious or infectious? *
Is the students tetanus vaccination up to date? *
Are there any activities that the student may not participate in for health reasons? *
Please indicate if the student can swim 50 metres of more *
Please indicate if the student is water confident *
Is there any other information relating to the students health and safety that we ought to be aware of (e.g. sleep walking, behavioural)? *
The SFX make up workshop is interactive and students will apply professional, non-toxic, SFX make up and silicone to each other. If your child has an allergy to SFX make up or silicone please advise and we shall ensure that they do not take part in the interactive part of the workshop. I give consent for the student to have SFX make up and silicone applied during the SFX workshop. *
I undertake to inform UK Film School as soon as possible of any changes in the medical circumstances of the student between the date of this form and the commencement of the visit.
I agree to the student receiving emergency medical, dental or surgical treatment, including anaesthesia and/ or a blood transfusion as considered necessary by the medical authorities present. I also understand that the school may exercise its discretion to refuse to accept a student unless it receives a completed and signed form.
Parent/Guardian Agreement *
Relation To Student *
MotherFatherLegal GuardianStudent (If over age of 18)