Student Contact & Medical Information Update – Eden Foundation | Handsworth

Student's Full Name *

Please enter the child's full name as recorded by Eden Foundation.

Last Academic Class Year *

Parent / Guardian's Full Name *

Relationship to Student *

Parent / Guardian Mobile Number *

Enter the mobile number that should receive essential Eden Foundation notices.

Emergency Information Emergency

Emergency Contact's Full Name *

Please provide someone Eden Foundation can contact if the main parent or guardian cannot be reached.

Emergency Contact's Relationship to Student *

For example: grandparent, aunt, uncle or family friend.

Emergency Contact Phone Number *

Does your child have any medical conditions, allergies, medication or health requirements that Eden Foundation should be aware of? *

Medical Conditions, Allergies, Medication and Health Requirements *

Please provide only information that Eden Foundation needs to keep your child safe. Include relevant conditions, allergies, medication, symptoms and support requirements. Write “None” if there is nothing to declare.

Emergency Medical Instructions *

Explain what staff should do in an emergency, including when medication should be used or when emergency services should be contacted. Write “None” if not applicable.

Additional Information

Add any other safeguarding, accessibility or care information Eden Foundation should know. Do not include information that is not relevant to your child's attendance.

Information Confirmation *

I confirm that the information provided is accurate and complete, and I will inform Eden Foundation if any details change.

Emergency Contact Confirmation *

I confirm that I have permission to provide the emergency contact's details and that they are aware they have been named as an emergency contact.

Data Use Confirmation *

I understand that Eden Foundation will securely store and use this information for student administration, safeguarding and emergency purposes.

Please add a link to Eden Foundation's privacy notice after importing this form.

Mandatory SMS Consent *

I agree to receive essential SMS messages from Eden Foundation regarding my child's fees, class updates, cancellations, timetable changes and mosque or Madrasah closures.