STUDENT INFORMATION, DATA AND HEALTH FORM(2025-2026)
  • STUDENT INFORMATION, DATA AND HEALTH FORM(2025-2026)

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • DATA PROTECTION AND  SCHOOL USE OF STUDENT PHOTOGRAPHS

  • Please note that in line with the Charter International School Data Protection policy and the Thai Personal Data Protection Act (PDPA), we will only use the information provided to support the core educational function of the school. It will not be shared with any organisation outside school unless it is with a service provider supporting our core function and only if they have signed an agreement that they will not use this information for any other purpose or share it with anyone else outside their organisation.

  • School use of Student Photographs

  • Charter International School will sometimes use photographs of students in publicity materials or when showcasing school events in publications such as our brochure, website, or social media. When we do this, we do not reveal the full names of the students or their personal details. If you do not wish for your child’s photograph to be used for these purposes, please tick 'No' in the box below. If you do not do this, we will assume that your permission is given to use your child’s photograph.

    • Please note that if we use a photograph of 6 or more students, it will be considered a picture of a group, not of any individuals, and the school will not seek your permission to publish.
    • Parents have the right to rescind their permission at any time, and the school will make every reasonable effort to remove pictures where parental permission has been rescinded. Please let us know right away if we have made an error in publishing a photo
  • Do you give consent for Charter International School to take photographs of your child for use in publicity materials, such as our brochure, website, or social media?*
  • HEALTH FORM UPDATE

  • Please indicate any of the following that apply to the above student.*
  • Medications consent

  • The School Health Centre provides some over the counter medications that your child may benefit from for certain presentations. We will only administer these medications with parental consent. Please indicate whether you consent to the nurse administering the following over the counter medication to your child:

  • Medications consent Information*
  • Allergies / Intolerances

  • 1) Please provide information if your child has any allergies (food, medicines, bee stings and so on), including any signs, triggers or symptoms, and treatments. Please also include details of any required medication.

    2) Please enter 'None' if your child has no known allergies/intolerances.

  • Routine Medication

  • 1) Please provide details if your child takes prescribed medication on a daily basis at home. Please include the health condition being treated, name and dosage of the medication and what time(s) it is taken.   

    2) Please enter 'None' if your child has no routine medications.

  • My child is vegetarian or vegan.*
  • Please comment on any ongoing medical condition(s). Specify what the problem is and provide any information that would help the school nurse better care for the student during the school day

  • Would you like to complete the form for a second child?
  • SECOND CHILD'S DETAILS

  • School use of Student Photographs

  • Charter International School will sometimes use photographs of students in publicity materials or when showcasing school events in publications such as our brochure, website, or social media. When we do this, we do not reveal the full names of the students or their personal details. If you do not wish for your child’s photograph to be used for these purposes, please tick 'No' in the box below. If you do not do this, we will assume that your permission is given to use your child’s photograph.

    • Please note that if we use a photograph of 6 or more students, it will be considered a picture of a group, not of any individuals, and the school will not seek your permission to publish.
    • Parents have the right to rescind their permission at any time, and the school will make every reasonable effort to remove pictures where parental permission has been rescinded. Please let us know right away if we have made an error in publishing a photo
  • Do you give consent for Charter International School to take photographs of your child for use in publicity materials, such as our brochure, website, or social media?*
  • SECOND CHILD HEALTH FORM UPDATE

  • Please indicate any of the following that apply to the above student.*
  • Medication Consent (Second Child)

  • The School Health Centre provides some over the counter medications that your child may benefit from for certain presentations. We will only administer these medications with parental consent. Please indicate whether you consent to the nurse administering the following over the counter medication to your child:

  • Medications consent Information*
  • Allergies / Intolerances

  • 1) Please provide information if your child has any allergies (food, medicines, bee stings and so on), including any signs, triggers or symptoms, and treatments. Please also include details of any required medication.

    2) Please enter 'None' if your child has no known allergies/intolerances.

  • Routine Medication

  • 1) Please provide details if your child takes prescribed medication on a daily basis at home. Please include the health condition being treated, name and dosage of the medication and what time(s) it is taken.   

    2) Please enter 'None' if your child has no routine medications.

  • My child is vegetarian or vegan.*
  • Please comment on any ongoing medical condition(s). Specify what the problem is and provide any information that would help the school nurse better care for the student during the school day

  • Would you like to complete the form for a third child?
  • THIRD CHILD'S DETAILS

  • School use of Student Photographs

  • Charter International School will sometimes use photographs of students in publicity materials or when showcasing school events in publications such as our brochure, website, or social media. When we do this, we do not reveal the full names of the students or their personal details. If you do not wish for your child’s photograph to be used for these purposes, please tick 'No' in the box below. If you do not do this, we will assume that your permission is given to use your child’s photograph.

    • Please note that if we use a photograph of 6 or more students, it will be considered a picture of a group, not of any individuals, and the school will not seek your permission to publish.
    • Parents have the right to rescind their permission at any time, and the school will make every reasonable effort to remove pictures where parental permission has been rescinded. Please let us know right away if we have made an error in publishing a photo
  • Do you give consent for Charter International School to take photographs of your child for use in publicity materials, such as our brochure, website, or social media?*
  • THIRD CHILD HEALTH FORM UPDATE

  • Please indicate any of the following that apply to the above student.*
  • Medication Consent (Third Child)

  • The School Health Centre provides some over the counter medications that your child may benefit from for certain presentations. We will only administer these medications with parental consent. Please indicate whether you consent to the nurse administering the following over the counter medication to your child:

  • Medications consent Information*
  • Allergies / Intolerances

  • 1) Please provide information if your child has any allergies (food, medicines, bee stings and so on), including any signs, triggers or symptoms, and treatments. Please also include details of any required medication.

    2) Please enter 'None' if your child has no known allergies/intolerances.

  • Routine Medication

  • 1) Please provide details if your child takes prescribed medication on a daily basis at home. Please include the health condition being treated, name and dosage of the medication and what time(s) it is taken.   

    2) Please enter 'None' if your child has no routine medications.

  • My child is vegetarian or vegan.*
  • Please comment on any ongoing medical condition(s). Specify what the problem is and provide any information that would help the school nurse better care for the student during the school day

  • WHAT WE WILL DO

  • If your child becomes sick at school, we will contact you, administer basic first aid and stay with your child until you or a desiganted guardian arrives.

  • INDEMNITY TO CHARTER INTERNATIONAL SCHOOL

  • INDEMNITY TO CHARTER INTERNATIONAL SCHOOL


    I/we agree to my child/ren being included in swimming lessons, educational outings and other educational activities arranged by the School while he / she is attending Charter International School. 


    I/We undertake that I/we have given Charter International School authority to administer this medication as outlined above on my behalf and accept full responsibility for the same in the event that my child has any adverse reaction to this medication, provided that the medication was administered in accordance with the instructions on the packaging. I/We give consent for emergency medical care to be provided to my child (on campus and during off campus Charter International School activities) with the understanding that I/we will be contacted as soon as possible.

     

    I/We understand that current health issues will be updated in our child’s health records and will be available to staff directly involved in our child’s education and care.


    I/we agree to abide by the rules, policies and procedures of Charter International School. I understand that I must pay school fees and all other additional payments required by the school in a timely manner.  I understand that late payment of fees will result in a surcharge in line with school policy.


    Permission is hereby granted for emergency measures to be initiated in case of an accident or sudden illness, with the understanding that I will be notified as quickly as possible. I/we certify that all information given on this record is complete and correct, I have provided my name as an electronic signature

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