Underage consent form

Step 1
Student and parent’s details
Step 2
Guardian details
Step 3
Other information
Step 4
Declaration

If you’re having issues submitting the form, try this link.

Underage Consent Form

This form needs be completed by parents or permanent legal guardians of applicants under 18 years of age on arrival, to provide additional information and request a UK guardian if required.

Applicant name*

First Name

Last Name

Applicant email*

Kaplan student ID number*

You can find this number on the top left of your Offer Letter

Applicant nationality*

Applicant country of domicile*

College*

You only need to fill in this form once for your first choice of college, even if you have applied to more than one.

If you will be under 18 at the point of progression to the University of Bristol, you will be required to complete a parental declaration form ahead of enrolment. Full details of the University’s policy can be found here: http://www.bristol.ac.uk/study/undergraduate/after-you-apply/your-application/under-18s/. Kaplan International College London will ensure that the you complete the form whilst you are studying your foundation course

If you are applying to study at University of Birmingham Foundation Pathways, please complete the University of Birmingham Parental Agreement Form instead of this form.

Course start date

You can find this date on your Offer Letter

Parent/permanent legal guardian details

Parent/guardian title (Mr, Mrs, Ms, Dr, etc)*

Parent/guardian name*

First Name

Last Name

Parent/guardian telephone number*

Include international dialing code

Parent/guardian email*

Relationship to child*

Father Mother Legal guardian

How well do you speak and understand English?

Limited A little Well Very well Fluently

Date of Diphtheria immunisation (if known)

Date of Tetanus immunisation (if known)

Date of Whooping cough immunisation (if known)

Date of Polio immunisation (if known)

Date of Hib immunisation (if known)

Date of Measles, Mumps, Rubella (MMR) immunisation (if known)

Date of BCG immunisation (if known)

Date of Hepatitis A immunisation (if known)

Date of Hepatitis B immunisation (if known)

Date of Meningitis C immunisation (if known)

Date of Other immunisation (if known)

Agreement by parent/legal guardian to College Guardians terms*

I agree to pay the costs of the guardian services for the duration I have selected in the College Guardians request section of this form. I understand that these costs will be added to my child’s student account and are non-refundable. By signing this form, I confirm that College Guardians (through Malvern College Enterprises Limited) may obtain, process and hold personal information about my child, including sensitive information such as medical details, and that I consent to this for the purpose of assessment and in order to safeguard and promote the welfare of my child. I agree to have read and understood the College Guardians Terms and Conditions below.

College Guardians – Terms and Conditions

Sponsorship

Are your child’s studies being sponsored by an organisation?*

Yes No

Name of sponsoring organisation*

Contact name at sponsoring organisation*

Sponsoring organisation email

Accommodation

Students aged under 18 years at the time of enrolment must live in college-arranged accommodation for the duration of their contract, or with a responsible adult over the age of 21 in the same town/city as the college at least until their 18th birthday.

My child will be staying in College-arranged accommodation*

Yes No

Full address in the UK where your child will be staying*

Address Line 1

Address Line 2

City

County/Region

Postcode

Please provide below the name, contact details, date of birth and relationship to your child for the person your child will be staying with*

Agreement by parent/legal guardian to private accommodation*

I give permission for my child to live in private accommodation

Declaration

Agreement by parent/legal guardian to general terms*

Agreement by parent/legal guardian to general terms
	Please tick to confirm you have read and accept these terms
I agree to act as a financial guarantor should it be necessary for my child to enter into a contract with Kaplan International Pathways that requires adult consent in order for it to be legally binding.	Agreement by parent/legal guardian to general terms: I agree to act as a financial guarantor should it be necessary for my child to enter into a contract with Kaplan International Pathways that requires adult consent in order for it to be legally binding. (Please tick to confirm you have read and accept these terms)
I understand and accept that Kaplan International Pathways are unable to undertake parental responsibility for students under the age of 18.	I understand and accept that Kaplan International Pathways are unable to undertake parental responsibility for students under the age of 18. (Please tick to confirm you have read and accept these terms)
I have read the UK Pathways Information Sheet for Parents of Underage Students and, if my child is studying on campus, have appointed a suitable UK-based guardian for my child who may be contacted when necessary.	I have read the UK Pathways Information Sheet for Parents of Underage Students and, if my child is studying on campus, have appointed a suitable UK-based guardian for my child who may be contacted when necessary. (Please tick to confirm you have read and accept these terms)
I understand my son/daughter will be participating in an adult course and will be in classes with students who are aged 18 and over.	I understand my son/daughter will be participating in an adult course and will be in classes with students who are aged 18 and over. (Please tick to confirm you have read and accept these terms)
If my child is studying on campus, I understand and accept that under the laws of England and Wales, and Scotland, anyone under the age of 18 is considered a minor (a child).The law prohibits those under the age of 18 from buying alcohol or having alcohol purchased for them by others, buying tobacco or cigarettes, gambling, or buying a knife. My child has been made aware of the legal restrictions listed in the point above.	If my child is studying on campus, I understand and accept that under the laws of England and Wales, and Scotland, anyone under the age of 18 is considered a minor (a child).The law prohibits those under the age of 18 from buying alcohol or having alcohol purchased for them by others, buying tobacco or cigarettes, gambling, or buying a knife. My child has been made aware of the legal restrictions listed in the point above. (Please tick to confirm you have read and accept these terms)
If my child is studying on campus, I give permission for my child to travel to the UK and agree to his/her travel arrangements, and agree to provide the college with these for visa purposes as soon as they are confirmed.	If my child is studying on campus, I give permission for my child to travel to the UK and agree to his/her travel arrangements, and agree to provide the college with these for visa purposes as soon as they are confirmed. (Please tick to confirm you have read and accept these terms)
If my child is studying on campus, I give permission for my child to take part in extra-curricular activities arranged by the College.	If my child is studying on campus, I give permission for my child to take part in extra-curricular activities arranged by the College. (Please tick to confirm you have read and accept these terms)
If my child is studying on campus, I have taken out EduTravel student insurance or other comprehensive insurance on behalf of my child.	If my child is studying on campus, I have taken out EduTravel student insurance or other comprehensive insurance on behalf of my child. (Please tick to confirm you have read and accept these terms)
If my child is studying on campus, I give permission for my child to be given emergency medical assistance if the need should arise.	If my child is studying on campus, I give permission for my child to be given emergency medical assistance if the need should arise. (Please tick to confirm you have read and accept these terms)
I understand that under the 1998 Data Protection Act that Kaplan International Pathways are not able to disclose any information about my child’s progress, either academic or non-academic, without their written consent. I understand this written consent is given on the Kaplan International Pathways application form and again during the registration process on arrival at college.	I understand that under the 1998 Data Protection Act that Kaplan International Pathways are not able to disclose any information about my child’s progress, either academic or non-academic, without their written consent. I understand this written consent is given on the Kaplan International Pathways application form and again during the registration process on arrival at college. (Please tick to confirm you have read and accept these terms)
If my child is studying on campus, I understand that if the nominated Guardian does not meet the expected requirements, responsibilities and obligations to fulfil the Guardian role, KI Pathways reserves the right to engage the services of a professional educational guardian to ensure these are met. Any additional fees that are incurred will be charged to the student’s parent.	If my child is studying on campus, I understand that if the nominated Guardian does not meet the expected requirements, responsibilities and obligations to fulfil the Guardian role, KI Pathways reserves the right to engage the services of a professional educational guardian to ensure these are met. Any additional fees that are incurred will be charged to the student’s parent. (Please tick to confirm you have read and accept these terms)

Parent/Legal guardian name*

First Name

Last Name

I hereby confirm that I am acting as the student’s parent/legal guardian. I agree and have given my consent to Kaplan International Pathways and/or its affiliates to:*

I hereby confirm that I am acting as the student’s parent/legal guardian. I agree and have given my consent to Kaplan International Pathways and/or its affiliates to:
	Please tick to confirm you have read and accept these terms
collect, store, use, share, transfer, disclose, process my child’s personal information including his/her sensitive personal information	I hereby confirm that I am acting as the student’s parent/legal guardian. I agree and have given my consent to Kaplan International Pathways and/or its affiliates to:: collect, store, use, share, transfer, disclose, process my child’s personal information including his/her sensitive personal information (Please tick to confirm you have read and accept these terms)
transfer or share my child’s personal information including his/her sensitive personal information outside the People’s Republic of China for the purposes of this application	transfer or share my child’s personal information including his/her sensitive personal information outside the People’s Republic of China for the purposes of this application (Please tick to confirm you have read and accept these terms)
provide my child’s personal information to any other data controllers or data processors for processing his/her personal information in support of his/her application	provide my child’s personal information to any other data controllers or data processors for processing his/her personal information in support of his/her application (Please tick to confirm you have read and accept these terms)
disclose my child’s personal information including his/her sensitive personal information to relevant authorities for purposes of this application or as required by applicable laws and regulations	disclose my child’s personal information including his/her sensitive personal information to relevant authorities for purposes of this application or as required by applicable laws and regulations (Please tick to confirm you have read and accept these terms)

Parent/Legal guardian name*

First Name

Last Name

Media Consent and Release

I hereby consent to and grant to Kaplan,Inc. ,its affiliates, and others working on its behalf (“the Licensed Parties”),  the perpetual, worldwide right to use my child’s name, likeness, image, voice recording, biographical information  (including programme of study and progression degree and institution), and/or their statements, (in their entirety,  in part and/or paraphrased, in both the original language and translations, and in the case of image, edited, cropped and/or retouched);together “the Licensed Materials”), in any medium, whether now known or hereafter invented, and for any commercial use, including but not limited to use for promotional or advertising purposes.

I agree that I do not have to approve any promotional document or concept containing the Licensed Materials. I further agree that the Licensed Parties have no obligation to use the Licensed Materials.

I hereby release and discharge the Licensed Parties from any and all claims and demands arising out of or in connection with the exercise of the rights granted in this Release.

I warrant that this Consent and Release does not conflict with any other existing commitment on my part. I have read this document, understand it and am signing it willingly.

To find out more about how we handle your personal data, please see our privacy policy at https://www.kaplanpathways.com/privacy.

Agreement by parent/legal guardian to Media Consent and Release*

I agree to the above statement I do not agree to the above statement

Agreement by applicant*

I have read and understood all of the declaration and data protection points above. I am aware that in signing the application form and contract at registration I am giving permission for Kaplan International Pathways to inform my parent(s) and my guardian of my progress during my time registered with the College. If I am sponsored, then my sponsor will also be informed.

Applicant name*

First Name

Last Name

Email confirmation

A copy of this form will be emailed to the Parent/Legal Guardian and UK Guardian on the email addresses provided. If you would like to send another copy to a different email address (such as an agent or relative), please enter this email below.

A copy of this form will be emailed to the Parent/Legal Guardian and UK Guardian on the email addresses provided. Please confirm that the guardian details you have provided is accurate and the nominated person is aware that they are the student’s guardian and will be expecting this form.*

Yes

If you wish for a copy of this form to be sent to an additional email address (such as an agent or relative), please enter this email below.

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