Parental Consent Form

Parental Consent Form

This form must be completed by the parent/guardian of any student under the age of 18 attending a course at CILE.
We keep this information secure and will only give it to people who are directly involved in caring for your child during the time when they are enrolled at the school, this may include healthcare and welfare professionals. We will not pass on any details to 3rd parties to be used in marketing.

Student details:

Full name:*

Date of birth:*

Gender:*

Nationality:*

Native language:*

Student’s mobile phone number:*

Passport Number or ID number if European*

From study date:*

To study date:*

Parent or Legal Guardian Information

Full name:*

Relation to student:*

Email:*

Mobile phone:

Please note that telephone number should be available for contact 24 hours a day.

Medical and Welfare Information

Has your child any medical conditions or allergies? If yes, please give details:*

Is your child taking any medication? If yes, please give details.*

Do you authorize a doctor to give any dental, medical treatment, including blood transfusion or operation, if you cannot be contacted in an emergency?*

Is there any other information that CILE should be aware of? If yes, please give details.*

My son’s/daughter’s European Health Insurance Card Number:*

I take the responsibility for the subscription of my son´s/daughter´s required insurance (illness, accident, repatriation or transfer due to accident, illness or death, loss of personal belongings and civil responsibilities). I declare that my son/daughter has the obligatory medical insurance needed to travel abroad.*

Parental Consent to Travel and Activities

I give my permission for my child to travel unaccompanied or in transport organized by the school to / from the airport.*

I understand that my child will not be supervised while travelling from their accommodation to the school and back every day.*

I give permission for my child to make train or bus journeys unaccompanied.*

I give my permission for my child to participate in excursions, free time activities and sports organized through the school.*

I give permission for my child to do watersports if part of a group supervised by a group leader and in a lifeguard protected area.*

I give permission for my child to go swimming in the sea if part of a group supervised by a group leader and in a lifeguard protected area.*

I give permission for child to have unsupervised free time in the evening and at weekends.*

Curfew Times
I agree that my child will follow curfew times in CILE’s accommodation:
• 15-16 years old must be home by 22.30h
• 17 years old must be home by 24.00h
• If the host family or group leaders request an earlier curfew, then this must be followed.*

Photographs and videos

Academia CILE may take photographs or videos of students during lessons or activities and these images may be used in the school’s publicity.
I consent for images to be taken and to be used in the school’s publicity. *