St George's School Boarding - OCCASIONAL BOARDING ONLINE BOOKING FORM

Child's Name / Year Group

First NameSurnameYear Group

Arrival Date/Time

DayMonthYearHourMinutesAM/PM Option

Departure Date/Time

DayMonthYearHourMinutesAM/PM Option

Parent Contact 1

E-mail

Phone Number

Area CodePhone Number

Parent Contact 2

E-mail

Phone Number

Area CodePhone Number

Guardian (if leaving the UK or further than a 2 hour car journey)

E-mail

Phone Number

Area CodePhone Number

Dietary information

Allergies Information

Medical information

Medicines to administer (please state type, dosage, time)

Please indicate that you give consent for duty staff to administer

Please indicate that you give consent for the school to act in an emergency

Dorm Preference

Town Visit

Boarders are permitted to walk into Harpenden after school and before supper. Year 8 must be in groups of 3 and Year 9 must be in groups of 2. Please indicate whether or not you give your child permission to do this.

Any Other Information

Payment can be made by either through Parentpay or by bank transfer and is required in advance.