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Student Details Form

Hi! Please fill this in so we can keep you safe.

Full Name

Preferred Pronouns (e.g. they/them, she/her, he/him etc.)

Date of Birth

Address

Phone Number (inc. Country Code)

Allergies, Dietary Requirements, Medical Conditions, Accessibility Needs, Anything Else We Should Know Before the Program Starts 🙂

What's your COVID sitch? (Pick as many that apply)

I'm double vaxxed
I'm triple vaxxed/boosted
I've had COVID
I'm immunocompromised and if I get COVID it'll probably be really serious

Name of Your Emergency Contact

Their Phone Number (inc. Country Code)

Their Email Address

Your Arrival Method (flying, driving, etc.)

Airline and Flight Number

Arrival Time

Coming From (e.g. last airport if you're flying, or town if you're driving)

Website

197 Shares

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