FORM

Medical Consent

  • DD slash MM slash YYYY
  • If you have ticked 'Cetirizine' above, you will need to bring your own anti-histamine supply, which has to be declared to Miss Mialkowski (ashleigh.mialkowski@wychwoodschool.org) in writing via email with instructions in English and labelled with your name.
  •  

    Please indicate which of the following immunisations your child has had and provide the date for each one: