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SUMMER SCHOOL PROGRAMME 2025 DOCUMENTS SUBMISSION

Welcome to King Henry VIII College, Malaysia!
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Update of Contact Details

Student's Details

Parents' Details

Documents Uploads

1. Passport of Student (JPEG/ PNG/ PDF)

2. Passport of Parents (JPEG/ PNG/ PDF)

3. Travel Insurance Policy (JPEG/ PNG/ PDF)

4. Flight Itinerary (JPEG/ PNG/ PDF)

5. Passport Photo (JPEG/ PNG)

[I] Airport Pick-Up/ Drop-Off

Arrival Info

Do you require Airport Pickup Service for your child?

Do you require Airport Pickup Service for your child?
A
B

Departure Info

Do you require Airport Drop-off Service for your child?

Do you require Airport Drop-off Service for your child?
A
B

[II] Health Declaration

(A) International Travel/ Medical Insurance

Your child must have coverage to take part in the programme and if you purchase insurance for your child at the airport you will need to provide the details upon arrival. Otherwise, please provide details of International Medical Insurance Coverage/International Travel Insurance Coverage below.

International Travel/ Medical Insurance Details

The insurance coverage include (please tick where appropriate):

The insurance coverage include (please tick where appropriate):

(B) Medical Information

1. Does your child have any known medical condition?

1. Does your child have any known medical condition?
A
B

2. Does your child require medical treatment or medication?

2. Does your child require medical treatment or medication?
A
B

3. Does your child wear glasses or contact lenses?

3. Does your child wear glasses or contact lenses?
A
B

4. Does your child have any hearing difficulties?

4. Does your child have any hearing difficulties?
A
B

5. Does your child have any allergies?

5. Does your child have any allergies?
A
B

6. Does your child have any allergies to medication?

6. Does your child have any allergies to medication?
A
B

Please note that there must be an English translation, certified by a doctor for any medication brought. This must be handed to the staff on duty upon arrival at King Henry VIII College.
If you have answered YES to any of the above, please provide further details below. Also, indicate clearly whether this condition will, in your opinion, affect your child’s ability to participate in any summer camp related activities and/or summer camp outings.

(C) Dietary Requirements

Does your child have any dietary requirements?

Does your child have any dietary requirements?
A
B

(D) Emergency Contact

1st Contact

2nd Contact

(E) Family Doctor

(F) Medical Treatment Consent/Declaration

If your child should require any form of medication and/or medical treatment whilst on this school trip then we will do all that we can to contact you for any decisions that need to be made. If, however, we are unable to contact the named individuals or there is insufficient time, the advice of the medical authorities present will be taken. By signing and submitting this consent form, the student’s parents or guardians indicate their consent to this.

Declaration :

I hereby agree to my child receiving medication as instructed, or any emergency or surgical treatment as considered necessary by the medical authorities present. I confirm that the information given above is accurate to the best of my knowledge.

Signature