IN SCHOOL STUDENT RECORDS
Please check and confirm that our records are accurate and up to date  
TO BE COMPLETED  BY FULL-TIME, PART-TIME AND ONLINE STUDENTS WHO ATTEND IN PERSON SESSIONS AT THE SCHOOL (INCLUDING AFTER SCHOOL OR WEEKENDS)  
Your Details
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Student 1
PERSONAL INFORMATION
It is critical that we have all current details for each student.  If any personal details have changed you are required by the Ministry of Education to let us know as soon as possible.
Please ensure the details are correct, including phone numbers and email for the Emergency Contacts.
MEDICAL RECORDS AND MEDICINE AT SCHOOL
Please disclose all medical information that may impact on the student's learning or behavior in school.
Ensure you provide details of ALL medication as well as  the requirements around dosage etc.
Where applicable, if you would like us to adminster their medication please state your consent on this form.  All medicine will need to be label with their name, DOB, and expiry date.
DIETARY AND ALLERGIES 
Please disclose full details of all dietary requirements, allergies or conditions.
ED PSYCH REPORTS
If you have an Ed Psych Report please email this to Pip Block at office@a1student.com 

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Emergency Contact Details  
[we need two contacts, one can be the same as the primary contact above]
First Emergency Contact
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Second Emergency Contact
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