Online School Registration

Online School Registration for 6 and 11 years

online school 6 to 11

Child or Young person's details

Home Address:

Phone Number

Post Code

Emergency contact number - Name:

Parent or Guidance's Details:

Contact

Address:

Post Code:

Phone No:

Email:

Emergency contact number - Name:

Contact

Address:

Post Code:

Phone No:

Email:

Child's Medical Details - GP:

Contact

Address:

Post Code:

Phone No:

Email:

Any extra help we need to provide: (for example because of a disability)

Any medical conditions or allergies? (If yes, please provide details/medication needed)

I agree to (please tick):

My child taking part in the online learning with Goshen Classroom.

keeping a record of this form for health and safety reasons

My child being filmed or photographed during the activity

with the possibility that these photographs/media recordings may be used for publications or marketing publicity.

Note: if consent is not given

Goshen Classroom will not use any images taken during the activity that contain the child/young person.

I understand that my child needs to follow the behaviour code and any safety rules so that Goshen Classroom can keep them and other children safe.

Is there anything else you think we should know?