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LIME HOUSE SCHOOL STUDENTS
Half-Term Homestay & Guardianship Application Form

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Student Details

*

*

Date of Birth: DD/MM/YYYY*

Gender:*

Nationality:

Religion:

Mobile:

Special Interests:

Homestay Family Preferences:

Medical Details

Special Dietary Requirements?:*

Dietary Requirements Details:
Hospitalised / Serious illness?:*

Hospitalised / Serious illness Details:
Serious Allergies?:*

Serious Allergies Details:

Current Medication?:*

Current Medication Details:

School / University Details

School / University Name:*

Boarding House Name:

Start Date: DD/MM/YYYY*

Year Group:

Preparation Course (if relevant):

Parent Details

Father’s First Name(s):

Father’s Last Name:

Father’s Mobile:

Father’s Email:

Father Speaks English:

Mother’s First Name(s):

Mother’s Last Name:

Mother’s Mobile:

Mother’s Email:

Mother Speaks English:

Agreement

Agree to declarations:*

By completing this application form:

  • I / We request the above-named student be registered with Study Links.
  • I / We understand that Study Links may obtain, process and hold personal data about me / us for the purposes of processing the application, in compliance with the General Data Protection Regulations.
  • I / We understand that submitting this Application Form does not constitute an offer of guardianship services by Study Links. Study Links will review the application before confirming the terms of the registration.

Completed By Name:*

Completed By Email:*

 

 

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