Parent or guardian consent form

To be completed prior to attending any LearnSmart Academy course for the first time

Please note, all details entered below will only be used in the case of emergency, not for any marketing activities. All information will be kept confidential and will not be shared with any third parties.

Name *
In case of emergency
Child's date of birth *
Child's date of birth
- I agree to my son/daughter taking part in the academic activities in the course - I confirm to the best of my knowledge that my son/daughter does not suffer from any medical condition other than those listed above - I consent to my son/daughter travelling by motor vehicle driven by an academy tutor if train station drop-offs are required - I understand that the academy accepts no responsibility for any loss, damage or injury caused by or during any courses attended unless where such loss, damage or injury can be shown to result directly from the negligence of the academy or the organisers
Today's date *
Today's date