Guardianship Enquiry Form

Student's Information

Male Female
Parent Agent Both

Parent Information

Yes No

* If we are unable to contact you, do you consent to all emergency medical or dental treatment including inoculations, general or local anaesthetic, surgery or blood transfusions which, in the opinion of a qualified doctor, are necessary for your child's safety and wellbeing.

Answering No to the above question would mean we are unable to become the guardians for your child. We will make every attempt to contact you in emergency situations, however in order to be a guardian we must be able to act on your behalf in the rare occasions of not being able to reach you.
Yes No

* Do you consent to the administration of “over the counter” medication such as paracetamol, cough syrup etc. (subject to any allergies).
Yes No

* Do you consent to your child travelling by any form of public transport and/or in a motor vehicle driven by a responsible adult who is duly licensed and insured to drive a vehicle of that type?
Yes No

Does your child suffer from any medical or psychological conditions that may require them to have additional levels of support from the host family?

If you answer yes to the above question, this does not mean that we will refuse your application. It simply means that we will require additional information to ensure we have the right host family for your child’s needs.
We have read and understood and accept the level of guardianship service we have chosen, and the scope of the guardianship responsibilities and services included.

We will pay the fees before entry to the UK or on receipt of the invoice.

Please tick the box to accept the above statements and our terms and conditions.
All information on the form is subject to our terms and conditions