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Courses
Transition Year
Destinations
About
Blog
Contact
COVID-19 UPDATE
DISCHARGE OF RESPONSIBILITY FOR MINOR CHILD & ACKNOWLEDGMENT OF RISKS
Student Details
Student Name
Student Surname
Date of Birth
MM slash DD slash YYYY
Parent Name
Parent Surname
Parent Email
Parent Phone
Medical Details
Does the student suffer from any medical conditions/allergies/physical limitations?
Yes
No
If yes, please elaborate:
Does the student require any medical treatment/medication?
Yes
No
If yes, please elaborate:
Does the student require a special diet for medical or religious reasons?
Yes
No
If yes, please elaborate:
Does the student suffer from an eating disorder?
Yes
No
Does the student suffer with mental heath difficulties?
Yes
No
If yes, please elaborate:
Curfew
Sunday - Thursday Curfew
I authorise my son / my daughter to go out on school days until ____________ (No later than 9pm)
Friday - Saturday Curfew
I authorise my son / my daughter to go out on weekends until ____________ (No later than 11pm)
I do not authorise my son /daughter to go out on school days.
I do not authorise my son /daughter to go out on weekends.
Any other information relevant to my son/daughter
I declare that I have read and accept the Tribe Study Abroad Terms and Conditions
*
Yes
No
