Alternatively, if you would like to download the form and complete it offline, you can do so below.

Student details

Gender:*

Photo of child:*

Please supply a passport quality photo. The file must be smaller than 8MB in size.

Family details

Father

Mother

Emergency contact if parents cannot be reached

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Agent details (if applicable)

Would you like your agent included in communications?
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Medical information

Emergencies

If we are unable to contact you, do you give consent for your child to receive any emergency medical or dental treatment considered necessary by a qualified doctor? This may include an anaesthetic (general or local), surgery, blood transfusion, provided under the NHS or privately if required.

Minor illnesses

Do you consent to your child being given over the counter, non-prescription medicines (e.g. pain relief) for the treatment of minor illnesses or discomfort, taking into account the medical details you have given us?*
Does your child suffer from any illness or have any disability?*
Is your child allergic or sensitive to anything?*
Does your child have any dietary preferences or restrictions?*
Has your child ever suffered from any infectious diseases?*
Does your child suffer from travel sickness?*
Does your child have asthma?*
Does your child have any psychological or mental health conditions?*
Does your child suffer from hay fever?*
Does your child take any medication?*
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Permissions and consents

I give permission for my child to travel with a Sable Guardians appointed driver or suitably vetted host family*
Sable Guardians may take photographs or short video footage during school visits, trips, or while your child is staying with a host family. These may be used for our promotional materials (e.g. website, brochures, social media). Do you consent to your child being included?*
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Confirmation

By signing this form, you are confirming that Sable Guardians may obtain, process and hold personal information about your child, including sensitive information such as medical details, and that you consent to this for the purpose of assessment and in order to safeguard and promote the welfare of your child.

It should be noted that parents will be responsible for paying any bank charges incurred. This form is for information purposes only and does not constitute a binding contract between you as a parent and Sable Guardians.

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