Parental Consent Form - No Accommodation
Individual Students aged 17- 18
We want to make sure that your child is safe and happy while studying in the UK. To help us, we ask
you (the parent or legal guardian) to complete this form for any student aged under 18 who isenrolled at Nacel English School London
Please note that the student will not be able to start the course until we have received the form.
Data Protection
We promise to keep this information secure and will only give it to people who are directly involvedin caring for your child on a need to know basis during the time when they are enrolled at Nacel
English School London; this may include healthcare and welfare professionals.
Student Details:
First Name:

Surname:

Date of birth:

Nationality:

Passport Number:

Passport expiry date:

Gender:Male/Female

First language:

Parents’ or Guardian’s Details:
1.
Title:First name:

Relationship to child:

Family name:First language:

Level of English:

Address:
Mobile phone:

Email:

2.
Title:First name:

Relationship to child:

Family name:First language:

Address:
Mobile phone:

Email:

Level of English:

English Course
I give consent for my child to travel to the UK and study at Nacel English School London.
I understand that my child will come into regular contact with other students over the age of 18
during class time and leisure time.
YES □ NO □Travel
I give consent for my child to travel to the UK and study at Nacel English School London.
I agree that my child can travel unaccompanied:• to and from London at the start and end of their course. YES □ NO □•between the school and his/her accommodation.

YES □ NO □*We advise that student’s book arrival and departure airport transfers through the school to takestudents directly to their accommodation.
Accommodation
For students under 18, without a guardian in the UK, we advise students stay in homestay
accommodation provided by the school. However, your enrolment form states that your child will
stay with a family friend who will act as their UK Guardian. This person is responsible for the safety
and care of your child.
Please can you provide the below information:
Name of responsible adult in the accommodation:

Date of birth:

Relationship to the child:
Address:

Mobile phone:

Email:The named person above will be contacted to confirm their identity, to check the details of yourchild’s stay and to ensure that that they are informed about their role as UK Guardian.

Leisure Activities
I give permission for my child to go on any trips organised by Nacel English School London, where amember of staff is present.
I understand that there are British laws (e.g. related to smoking and drinking alcohol) that apply topeople aged under 18. As a consequence, there may be some leisure activities which myson/daughter cannot take part in because of their age.
YES □ NO □

Unsupervised TimeI understand that my child will have unsupervised free time from when classes/activities finish until
the time of their curfew (see above for curfew times).
I understand that my child will have unsupervised free time at the weekends until their curfew time,
unless attending a school organised leisure activity.
Nacel English School London advertises and promotes external companies who run excursions in andoutside of London. I understand that if my child chooses to attend such activities/excursions run byexternal companies this is considered unsupervised time and therefore the Nacel English School arenot responsible for your child.
YES □ NO □MedicalPlease tell us about any medical problems. If we are not told in advance about a physical or mental
condition, we reserve the right to terminate the student’s course.
Does your child have:
Asthma or bronchitis

YES □ NO □Heart condition

YES □ NO □Fits, fainting or blackouts

YES □ NO □Severe headaches

YES □ NO □Diabetes

YES □ NO □Allergies to known medicines

YES □ NO □Other allergies e.g. materials, food, plasters

YES □ NO □Travel sickness

YES □ NO □Bed-wetting/incontinence

YES □ NO □Any mental health problems?
(including eating disorders, hyperactivity)

YES □ NO □Is your child on regular medication?

YES □ NO □Does your child require regular hospital treatment?

YES □ NO □Does your child take any medication which he/she will bring with them? YES □ NO □Is there additional Information we should know about?
If the answer to any of the questions above is YES, please give details:

YES □ NO □____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
In case of minor pain or illness such as headache, mild cold or sore throat, do you
agree to your child being given non-prescription medication such as
Paracetamol, cough medicine, throat pastilles, antihistamine or travel sickness tablets?
YES □ NO □In case of an emergency do you give permission for a responsible person in Nacel English School
London to arrange medical treatment for you child. (e.g. be seen by a doctor or hospitalised)
Of course, every effort will be made to contact you, the child’s parents/guardians, as quickly as
possible.
YES □ NO □AttendanceStudents are expected to attend all scheduled classes and activities and to be in theiraccommodation at the stated times. If you wish your child to be absent from the course at any time,please contact Nacel English School London directly so that suitable arrangements can be made.

Photographs and Video Clips
I understand that the Nacel English School London may take photographs or video clips of students
during class or leisure activities and that these images may be used in the schools publicity or on its
social media site.
I consent for images to be taken and used for the schools following publicity:• Internal printed advertisements e.g. posters within the school• External printed advertisements e.g. pricelist or brochures• Social media e.g. Facebook, Instagram or YouTube• The School Website

YES □ NO □YES □ NO □YES □ NO □Consent
I confirm that the above details are accurate and complete, and that I agree to the terms andconditions.
I have discussed the agreed arrangements and rules with my child.
Signature of the parent/guardian:…………………………………………… Date: ……………………………………………

I have discussed the agreed arrangements and rules with my parent/guardian.
Signature of the student: …………………………………………… Date: ……………………………………………