School and Pre school Quarantine programme booking form

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Email *

Name of Pupil *

Date of Birth *

YYYY

Age *

Gender *

Female

Male

Other:

Email address *

Reason for stay *

Dates *

Number of nights *

Transfer required at the start of the course *

Yes

Transfer required at the end of the course *

Yes

Name & contact details of your school nurse *

We will contact the school nurse to obtain your medical record

Dietary requirements *

Allergies & medical information (including any medical conditions/medicines taken) *

Declaration please sign *

Upon signing, you give your consent for your child/ward to stay at a Buckswood Global Education campus for the above period, under the guidance of St. George's Guardians (https://stg-guardians.co.uk/). Therefore this forms a contract of agreement with St. George's Guardians.

Parent email address *

Guardian email address *

Submit

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