
LOCAL GUARDIANSHIP FORM
Photograph of Local Guardian
Details of Local Guardian of ………………………………………………………………
[STUDENT’S NAME & GRADE]
Please circle this information YB/WB
Name in full:
How are you related to the student?
Local Address:
Tel No/Mobile No:
Business Address:
Tel/Fax/Mobile No:
Email address:
Please Turnover
In emergency to notify:
(Name & Address/Tel No)
………………………………. ………………………………
Signature of Parent Signature of Local Guardian
NOTE:
Students being invited as
a guest to a home require authentic written permission from their Parent or
Guardian and from the
Parent/Guardian/Host inviting them as a guest to their home. It is the
responsibility of the Parent/Guardian/Host to ensure the well being, good
conduct and proper supervision of the student during their stay. The school does not accept responsibility for
the student once they have left the campus but reserves the right to
recall students to school if it believes that they are not being properly
supervised off-campus. The school also
reserves the right to dismiss from service as Guardian any person whose
supervision of TISB students is not adequate, as deemed by the Principal. A Parent/Guardian/Host may not invite more
than one student to be guests in their home under any circumstances. A Parent
cannot give written permission for the guardian to invite their son/daughter to the guardian’s house; the guardian must write to the school and
seek permission to take their ward out 3 days in advance or by Thursday. This will be approved only if the
guardianship papers are in order.
The school reserves the right to decline any leave request which the Principal deems unwise, unsafe, improper or otherwise unacceptable.
Dr
Matthew Sullivan
Principal
TISB LOCAL GUARDIANSHIP FORM.doc
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