Declaration of Parental Consent

Senior Phase Programme College Participation Form
PLEASE USE BLACK INK AND BLOCK LETTERS TO COMPLETE THIS FORM
MAINSTREAM Programme Option:
PUPIL DETAILS
First
name: / Middle
name: / Surname:
Date of
birth: / Male o Female o / Flat or
house number:
Street: / Area of
the city:
Post
code: / Home contact
phone no ( ) / Pupil
mobile no
Parent/Guardian email Address
Pupil email Address
School name / Year group
EMERGENCY CONTACT DETAILS
Parent/
Guardian name / Relationship
to pupil:
Address / Home Tel no / Work Tel no
If not available at above, please contact
Name: / Relationship to pupil
Address / Home Tel: / Work Tel:
Family Doctor name:
Surgery address: / Tel:
Does your child suffer from any condition requiring medical treatment, including medication? If YES, please specify / YES o NO o
Is your son/daughter allergic to any medication? If YES please specify. / YES o NO o
Has your son/daughter received a tetanus injection in the last five years? / YES o NO o
Please outline any special dietary requirements of your child.
I undertake to inform the GVP as soon as possible of any changes in the medical circumstances between the date on which this form is signed and the start of the programme which takes place regularly throughout the year.
EQUAL OPPORTUNITIES Information
Please tick only one of the options below which describes your child or tick this box if you do not wish to disclose this information: o
White Scottish o White Irish o Other British o Mixed o Indian o Pakistani o
Bangladeshi o Chinese o Other Asian o Caribbean o African o Other Black o
Other ethnic background, please state (i.e. French etc) ______
Please tick, if either of the options below apply to your child: Asylum Seeker o Refugee o

Declaration of Parental Consent

I, as parent/guardian of the above pupil give my written consent and permission for my child to attend Glasgow’s Vocational Programme (GVP) on the training programme as noted above.
I have received, read, and understood, the programme TRAINING AGREEMENT and agree that my son/daughter will abide by these guidelines whilst attending GVP.
I understand that all GVP and College Staff delivering training to my child have been checked through Disclosure Scotland where appropriate, and that all training activities and facilities have been risk assessed.
I agree to my child taking part in a excursions/visits over the course of the programme within the locality of the establishment and within Glasgow City Council. This form is for regular and ongoing activities (excluding swimming or activity where swimming is essential) in Glasgow. At this time specific dates, places and times are not available. Every time my child has the opportunity to participate on a visit or outing, GVP WIILL NOTIFY ME OF THE DATE AND TIME OF ACTIVITIES
I understand that GVP is part funded by the Community Regeneration Fund and they are required to report STATISTICAL INFORMATION in relation to pupils who benefit from this funding and also on achievements and progress at the end of the programme. Also, to ensure that my child has the best possible outcome from the programme GVP will where appropriate pass on MEDICAL and EDUCATIONAL information to their partners i.e. Further Education Colleges, and internal training providers. Processing these details may involve GVP speaking to other agencies, namely Skills Development Scotland and FE Colleges.
I agree to my child receiving medication as instructed and any emergency medical, dental or surgical treatment, including anaesthetic or blood transfusion as considered necessary by the medical authorities present. I understand the extent and limitations of the insurance cover provided. I will inform GVP if any medical circumstances are changed from the original form and if they have been in contact with any contagious or infectious diseases or suffered from anything in the four-week prior to any visit/outing. I will also inform GVP if I do not wish my child at participate in the visit/outing.
I agree o I disagree o to my child’s PHOTOGRAPHS and FILM FOOTAGE being used in marketing material or the media i.e. newspapers, television, etc.
I agree o I disagree o to my child and I being contacted via e-mail using the e-mail addresses provided above.
Entitled to Free School Meals Yes o No o
Bus Pass Required Yes o No o
Signature (parent/guardian): Date:

Pupil Declaration

I, the Pupil named above, have received, read and understood the GVP TRAINING AGREEMENT. I have discussed this training programme with my school and parent/guardian and agree to abide by the guidelines whilst attending GVP
Pupil Signature: Date:

Other Information

Is there any other information you think we should know about your son/daughter? YES/NO (please delete)
If YES, please specify.
/ EMPLOYMENT & SKILLS PARTNERSHIP TEAM
MAINSTREAM SCHOOL COLLEGE PROGRAMME
Parental/Guardian Consent Form

PLEASE USE BLACK INK AND BLOCK LETTERS

Name of School:
I agree to my son/daughter (name)____________ taking part in a programme of excursions/visits throughout the one year training programme. This form is for regular and ongoing activities (excluding swimming or activity where swimming is essential) in Glasgow. At this point in time, specific dates, places and times are not available. Every time your son/daughter has the opportunity to participate on a visit or outing in Glasgow YOU WILL BE NOTIFIED OF ACTIVITY DATES AND TIMES.
Weekly Attendance
I agree that my son/daughter will attend College for 2 sessions per week throughout the duration of the 2016/17 Academic Year. I agree to my son/daughter participating in any or all of the activities described and I acknowledge the need for obedience and responsible behaviour on my son/daughters part. I agree my son/daughter will be given a bus pass; I agree my son/daughter will make his/her own travel arrangements to and from College unless otherwise advised by their school.
Additional visits
Additional visits may be arranged from time to time throughout the training programme. YOU WILL BE NOTIFIED OF EACH ACTIVITY DATE AND TIMES OF EACH VISIT SEPARATELY every time you son/daughter is required to participate.
IF ANY OF THE MEDICAL DETAILS FOR YOUR SON/DAUGHTER SHOULD CHANGE YOU MUST LET YOUR SON/DAUGHTERS TEACHER OR HEAD TEACHER KNOW.
If your son/daughter has been in contact with any contagious or infectious diseases or suffered from anything in the four-week prior to any visit/outing that may be or may become contagious or infectious please notify the school.
A separate consent form, Appendix 4C will be completed if swimming or activity where swimming is essential has been included.

Declaration:
I agree o I disagree o to my child’s PHOTOGRAPHS and FILM FOOTAGE being used in marketing material or the media i.e. newspapers, television, etc.
I agree to my son/daughter receiving medication as instructed and any emergency medical, dental or surgical treatment, including anaesthetic or blood transfusion as considered necessary by the medical authorities present. I understand the extent and limitations of the insurance cover provided. I will inform the head teacher if any medical circumstances are changed from the original form and if they have been in contact with any contagious or infectious diseases or suffered from anything in the four-week prior to any visit/outing. I will also inform the school if I do not wish my child at participate in the visit/outing.
I may be contacted by phoning the following numbers:
Work ______Home ______
My home address is ______
______
If not available at above, please contact
Name ______Phone Number ______
Address ______
______
Name, address and phone number of family doctor
______
______Phone Number ______
Signed ______Date ______
Medical and Emergency contact details will be passed to our liaison officers, training providers at training locations.
A copy must be retained by the Head of Establishment
NOTE: EVERY TIME YOUR CHILD HAS THE OPPORTUNITY TO GO ON A VISIT OR OUTING YOU WILL BE NOTIFIED.
YOU WILL ALWAYS BE GIVEN INFORMATION ABOUT THE VISIT/OUTING INCLUDING DATE, ACTIVITY AND TIMES.