Does your child suffer with any of these following? (please Choose)
Note: If yes to any of the above please provide detailed medical report
All that apply and in addition, attach a copy of vaccinations
we understand that
whilst the school will make all
reasonable efforts to
contact me/us in
case of medical emergency, this is not always possible. Therefore i/we authorize the school
to seek medical advice and treatment for our child if the school believes there to be an
emergency and I/we hereby undertake to pay all costs incurred by the school.
I/we also hereby authorize/ do not authorize the school to give our child minor medications
(ex. crocin tablets) if deemed necessary by the school.
PARENT OR LEGAL GUARDIANâ€™S INFORMATION