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University Visit Request Forms

Notice for Frequent Users

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Frequent User?

Pupil's Name:
House:
I request permission for my son/daughter to attend a university interview/open day
On these dates my son/daughter will be going to:
From: am/pm on
To: am/pm on
During this period if away overnight he/she will be spending the FIRST night:
At the home of:
Or at the following establishment:
Address:
Telephone:
as already discussed and agreed between myself and the Housemaster.

IF away more than one night he/she will be spending the SECOND night:
At the home of:
Or at the following establishment:
Address:
Telephone:
as already discussed and agreed between myself and the Housemaster.

He/she will be travelling to the University by the following mode of transport:
and returning to School by the following mode of transport:

Declaration

I accept full responsibility for my son's/daughter's health and safety from the time that he/she leaves Charterhouse until his/her return. I accept too that the school rules apply outside the School as well as within it.

I accept responsibility: Yes     No
Parent/Guardian details
Name:
Address:
Telephone:
Email:
Password text

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