Educational Guardianship Proforma – Guardians – Wells Cathedral School

Educational Guardianship Proforma - Guardians

Guardian/Agency Form of Acceptance

This form is to be completed by guardians as soon as possible to confirm the guardian arrangements for the child.

Full name of pupil *

Known as

Are you completing this form on behalf of a Guardianship Agency or as an Independent Guardian? *

Guardian Agency
Guardian

Name of Guardianship Agency *

Your Name *

Your Nationality *

Your Date of Birth *

Your Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Home phone

Your work phone

Your mobile phone

Email *

On behalf of the parent(s)/guardian(s) of the above child I agree to: *

Provide a point of contact on a daily basis throughout the School term and be ready to accommodate my charge in case of an emergency or crisis or in the unfortunate event of their being suspended from School.

On behalf of the parent(s)/guardian(s) of the above child I agree to: *

Collect and deliver pupils to and from airports at half terms, beginning and end of term.

On behalf of the parent(s)/guardian(s) of the above child I agree to: *

Collect pupils from School for the exeat weekends / half term holidays / longer holidays and to provide an appropriate degree of care and supervision during that time.

On behalf of the parent(s)/guardian(s) of the above child I agree to: *

Communicate all such travel details in writing with the Houseparent and to provide all necessary details prior to my charge leaving School for longer holidays (if necessary).

On behalf of the parent(s)/guardian(s) of the above child I agree to: *

Be ready to attend important parents’ conferences or other important meetings at the School on the parent’s behalf.

On behalf of the parent(s)/guardian(s) of the above child I agree to: *

Communicate with the Houseparent on a regular basis regarding the welfare of my charge.

Confirmation of Suitability *

I confirm that I am over 25 years of age, resident in the UK and English speaking. I am not a full time student living in accommodation provided by another education institution.

Confirmation of Suitability *

I confirm that we will provide the named pupil with a guardian who is over 25 years of age, resident in the UK and is English speaking. This person will not be a full time student living in accommodation provided by another education institution, and will not be a member of staff at Wells Cathedral School.

Terms and Conditions *

I accept the School’s terms and conditions as laid out in their Guardianship Policy document regarding the appointment of a guardian for my child.

Click here to download our Guardianship Policy

Name of Educational Guardian *

Signature of Educational Guardian: *

Clear Signature

Date *

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