PARENT MEMBER CONSENT FORM

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SOMERVILLE HOUSE PARENTS AND FRIENDS ASSOCIATION

Email *

I confirm that I am a parent or guardian of a student enrolled at Somerville House in 2021, and consent to becoming a Parent Member of the Somerville House Parents and Friends Association and for the Somerville House School to supply my name and personal contact details to the Somerville House Parents and Friends Association for the purpose of having my membership recorded by the Association. *

Yes

I understand that Parent membership requires annual consent and my current membership will terminate on 31st December 2021. *

yes

Required

First name *

Surname *

Telephone Number *

Date *

YYYY

A copy of your responses will be emailed to the address you provided.

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