Educational Guardian Agreement Form

The following UK resident has agreed to act as Educational Guardian to my/our son/daughter and may be consulted in an emergency.

The Educational Guardian must meet the following criteria:
• Must be over 25 years of age.
• NOT be a full time student living in accommodation provided by another educational institution or any form of university student accommodation.
• Be a permanent UK resident (i.e. UK passport holder or with leave to remain)
• Be a fluent English speaker
• Be available 24/7 in case of emergency
• Be able to provide the right level of support to the pupil as detailed on page 4 of the Educational Guardianship Policy

The Educational Guardian and Parent must both sign this agreement with the School, showing that they have understood the School’s requirements and the responsibilities of the Educational Guardianship.

Child's Name(Required)

First Last

Boarding House

EDUCATIONAL GUARDIAN DETAILS

Name(Required)

Title First Name Last Name

Guardian's Date of Birth

Email Address

The Accredited AEGIS or BSA Certified agency Name

Or, if not using an agency, please state relationship to the pupil

Guardian’s UK address

Street Address Address Line 2 City County / State / Region Post Code Country

Mobile Number

Daytime Number

Evening Number

Appointed Educational Guardian’s Agreement

Consent(Required)

I confirm that as the appointed Educational Guardian of the above-named pupil, that I am prepared to act with delegated parental authority to the pupil in case of an emergency and other matters agreed by the parents. I am also able to provide a home for the pupil for half term, ‘long weekends’ and inter-term holidays when the pupil is unable to go home, and to deal with arrival at or departure from UK airports if necessary.

Please forward copies of documentation as outlined in 'identity verification' on page 5 of the accompanying Policy to the International Registrar.

PARENT DETAILS

Parent 1/Legal Guardian Names

Parent 2/Legal Guardian Names

Consent(Required)

I/we confirm that the above-named person/organisation has agreed to act as Appointed Educational Guardian and by signing above, agrees to undertake the responsibilities as detailed in the Educational Guardianship Policy.

Consent(Required)

I/we confirm that I/we have asked the person named above to act with delegated parental authority for my/our child whilst I am/we are overseas.

Consent(Required)

I/we confirm that the appointed Educational Guardian is over 25 years of age, is legally resident in the UK, and is not a full-time student living in accommodation provided by another educational institution or university student accommodation.

Consent(Required)

I/we also undertake to notify the school in writing of any change of Educational Guardian and to provide full contact details of the new Educational Guardian.

Is the appointed Educational Guardian a close relative?

Yes
No

Is the appointed Educational Guardian an established family friend?

Yes
No

Is the appointed Educational Guardian named above expected to be taking charge of your child for a period in excess of twenty eight consecutive days?

Yes
No

If the answer to the above is YES, have you informed the appointed Educational Guardian that they are liable to scrutiny by the Social Services Department for the purposes of being approved as a responsible and appropriate person to take charge of your child?

Yes
No

Communication with the appointed Educational Guardian

Do you wish that the appointed Educational Guardian receives copy of all School correspondence?

Yes
No

Do you wish that the appointed Educational Guardian receives a copy of your child’s School Reports?

Yes
No

Do you give permission for the Educational Guardian to communicate travel/holiday arrangements with the school on parents behalf?

Yes
No

By ticking or signing and returning this form to us you are confirming that you wish to be bound by its contents

We may process your personal information for carefully considered and specific purposes which are in our legitimate interests and enable us to enhance the services or information we provide. We will always keep your details safe and secure. ‘We’ includes Sedbergh School, the charity, and all trading subsidiaries.

Our Privacy Notices can be found on our website (https://sedbergh.librisdev.com/privacy-policy/) or by request from The Bursar (Compliance), Sedbergh school, Malim Lodge, Sedbergh LA10 5RY. (tr@sedberghschool.org) If you have any concerns about the data we hold or do not wish to receive any further communications from us, please contact The Bursar (Compliance).

Signature(Required)

Quick Links

Educational Guardian Agreement Form

EDUCATIONAL GUARDIAN DETAILS

PARENT DETAILS

Communication with the appointed Educational Guardian

Arrange a Visit