Student Registration Form – Junior Summer Camp Students

Step 1 of 9

This form is for students already enrolled on a junior summer camp at Studio Cambridge.

Before completing the form, please note that we require the following information:

-Student’s details

-Parent or family’s contact details in case of emergency

-Address while in the UK (if not using Studio Cambridge accommodation)

-Health history

-Immunisation history

-Learning difficulties, disabilities and special educational needs

-Consent

It is essential that this form is completed in full – partially completed responses will not reach us.

See our privacy policy for how we take care of your information.

The Student’s Details

Student's name: *

First

Last

Summer camp name

Student's date of birth: *

Student's email address: *

Student's mobile phone number (including international code): *

Student's first day at Studio Cambridge: *

Student's final day at Studio Cambridge: *

Immunisation History

Have you been vaccinated against Measles? *

If yes, please give the date:

Date

Have you been vaccinated against Mumps? *

If yes, please give the date:

Date

Have you been vaccinated against Rubella? *

If yes, please give the date:

Date

Have you been vaccinated against Tetanus? *

If yes, please give the date:

Date

Have you been vaccinated against Polio? *

If yes, please give the date:

Date

Have you been vaccinated against Diptheria? *

If yes, please give the date:

Date

Have you been vaccinated against Chicken Pox? *

If yes, please give the date:

Date

Have you been vaccinated against Hepatitis B? *

If yes, please give the date:

Date

Have you been vaccinated against Covid 19? *

If yes, please give the date of your most recent vaccination:

Date

Consent

Administration of medication *

I agree

I authorise Studio Cambridge staff to give medication(s) to this student as and when necessary. I authorise Studio Cambridge to contact the student’s doctor if needed. I agree not to hold Studio Cambridge, (its employees or agents who are acting within the scope of their duties), liable should any problems arise from the administration of the medication the student requires. I agree to inform Studio Cambridge immediately, and in writing, of any change in the medication order. In the event of an emergency, I hereby give my consent to the local physician to secure proper treatment for this student.

Personal transport and free time *

I agree

I understand that if my son/daughter is in homestay accommodation, he/she will need to get to and from school by themselves, and that this may include a journey by bus (unsupervised). I understand that if my son/daughter is in residential accommodation on a Sir Michael or adult course, he/she may need to walk/travel (unsupervised) to and from their accommodation and school. I understand that Studio Cambridge does not recommend that students studying in Cambridge hire bicycles to travel around the city, especially if they are under 18 and/or an inexperienced cyclist. I understand that my son/daughter will have periods of unsupervised free time, as specified in the pre-arrival information (dependant on course).

Media materials *

I agree
I do not wish for my / the person under my guardianship or parentage’s image to be used by Studio Cambridge for marketing or social media purposes

It is Studio Cambridge policy to allow staff, students, leaders and other authorised guests to take photos or video of Studio students in public areas of the course centre whilst attending a course of camp. By ticking the box you agree to such media materials relating to the student being used by Studio Cambridge for marketing and social media purposes, or by other students or guests for personal use.

Parent/Legal Guardian's Name *

First

Last

Parent/Legal Guardian's signature: *