KING WILLIAM'S COLLEGE - Summer Term Boarding Experience 2022
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KING WILLIAM’S COLLEGE Summer Term Boarding Experience 2022
I ntroduction
The King William’s College Summer Term Boarding Experience provides
intensive English tuition, with a range of other academic subjects, and total
immersion into the school community. This will be complemented by a full
leisure programme of sports, activities and excursions.
This unique course provides an opportunity for students aged 13 to 16 to join
a fully functioning school. It is designed to empower students to experience
boarding school life and discover if they would enjoy studying away from
home longer term. The course will run from Wednesday 8th to Tuesday 28th
June 2022. Place numbers are limited.
Each student will have approximately 35 hours English tuition over the course,
which will aim to:
• Improve spoken and written English
• Develop vocabulary
• Enhance listening and pronunciation
• Build confidence and fluency
The Summer Term Boarding Experience is suitable for students who are
preparing for (I)GCSEs, A levels or the IB Diploma, are thinking of entering a
“Experience a British boarding school British boarding school or are looking for an interesting and rewarding holiday,
whilst improving their English.
during term time in a beautiful location”.
In the first and second week, students will attend English lessons in the
mornings, followed by activities in the afternoon.
In the third week, the students will be integrated into regular subject lessons
with our current students, according to their age and ability.
“I had the most amazing time, I met some wonderful people.
I learnt new things about the British culture and some
grammar. The teachers were all really open and kind to
everyone, always ready to make us feel at home.
I would totally recommend King William’s College.
It’s an extraordinary place”.
R ecreational Programme
King William’s College is situated in a very
special location, right next to the beach.
The Isle of Man is beautiful, healthy and
safe with stunning scenery.
We have extensive grounds available for
Sport; a gym, sports hall, all weather
pitches, tennis courts and a swimming
pool. In addition, we have a Theatre and
Music School.
After the morning study periods students
can enjoy a full programme of activities
and excursions, organised by experienced,
well-qualified staff, for example, a tour of
the Island and a visit to the famous Laxey
Wheel. In the evenings they can relax and
get to know the other students.
A ccommodation and
Meals
Houseparents look after boarders in
separate on campus girls’ and boys’
boarding houses and are supervised 24
hours a day. We have excellent pastoral
care with supportive and caring staff. Over
20 staff live on site.
Bedrooms are usually allocated on an age
basis, with some sharing in mixed
nationality bedrooms. The bedrooms are
comfortable and well-equipped.
There are three hot meals a day for
students, provided in the dining hall. The
food is offered as a hot and cold buffet
selection and includes fresh vegetables,
fruit and desserts. There is plenty of
choice, so all diets are catered for.
A resident nursing team is available for
any medical issues which may arise.
E xample Course Programme
WEDNESDAY THURSDAY FRIDAY SATURDAY MONDAY TUESDAY
& SUNDAY
WEEK 1 Induction Day: Morning Morning Adventure Morning Morning
Placement Test ESOL lessons ESOL lessons Weekend ESOL lessons ESOL lessons
Orientation
Activities Afternoon Afternoon Afternoon Afternoon
Welcome BBQ Activities Activities Activities Activities
WEEK 2 Morning Morning Morning Liverpool Morning Morning
ESOL lessons ESOL lessons ESOL lessons Trip Subject lesson Subject lessons
Afternoon Afternoon Afternoon Afternoon Afternoon
Activities Activities Activities Subject lessons Subject lessons
Cinema Trip
WEEK 3 Morning Morning Morning Boarders’ Morning Morning
Subject lessons Subject lessons Subject lessons Activities ESOL lessons Subject lessons
Exit test
Afternoon Afternoon Afternoon Afternoon Afternoon
Subject lessons Subject lessons Subject lessons Activities Subject lessons
Students need to arrive at King William’s College on Tuesday 7th June in the afternoon,
ready for the start of the course on Wednesday 8th June. Students leave King William’s
College on the morning of Wednesday 29th June.
Examples of activities:
Tour of the Island Trip to the Wildlife Park Manx Museum
Peel Castle Laxey Wheel Steam Railway
Coasteering Kayaking Paint balling
“I saw the life of a boarding student and it’s really cool.
The students are like a family and they help each other.
They are all so friendly and they really want you to feel good.” H ouse Routine
7.15am Rising Bell
7.25am All students up
7.30am Breakfast
8am Room tidy and inspection
8.25am Registration
8.30am School day starts
4.20pm School day finishes
6pm Supper
6.40pm House Prayers
9.30pm 13-year-olds prepare for bed
Lights out at 9.45pm
9.45pm 14-year-olds prepare for bed
Lights out at 10pm
10pm 15-year-olds prepare for bed
Lights out at 10.15pm
10.15pm 16-year-olds prepare for bed
Lights out at 10.30pm
11pm Lockup
F ee and Entry Details
The cost of the course is £3,000. This includes tuition, teaching materials,
accommodation, food, laundry, activities and excursions and transfers to and
from the Isle of Man airport.
Fee and Admissions Process
ADMISSIONS PROCESS
• To apply for a place please complete the
Summer Term Boarding Experience
Registration Form and Medical
PAYMENT
The outstanding amount is payable by 20th
April 2022, six weeks before the start of the
course.
Questionnaire and return it together with
A pre-intermediate level of English (IELTS 4.5) is required and a current the students latest school report and a VISAS
school report should be forwarded with your application. An online interview copy of their birth certificate or passport Pupils requiring a Visa will be able to enter on
will be arranged on receiving your application. Places are limited so an early to: a Visitor Visa for the duration of the Summer
application is advised. Term Boarding Experience course.
The External Relations Office
King William’s College MEDICAL TREATMENT
G
Castletown, Isle of Man, IM9 1TP If special medical treatment is required, every
etting to King William’s College Email: admissions@kwc.im
Telephone: +44 (0) 1624 820110
effort will be made to obtain the prior
consent of the parent or guardian. If this is
impossible in the time available the Principal
The Isle of Man has great air links with the major airports in the UK and • Once the paperwork is received you will or Housemaster/Housemistress, acting in
then be informed of a date and time for a loco parentis, is authorised to give valid
Ireland. Easyjet and Loganair operate flights to the Island from London
telephone or online interview. consent (including that for anaesthetic or
Gatwick, Birmingham, Manchester, Liverpool, Edinburgh, Bristol and Belfast
operation) as may be recommended by the
with some flights taking • An offer of a place, if applicable, will College Doctor. The College Doctor has a
just under 30 minutes - follow in writing by letter or email. right to give a pupil’s parents or guardian, the
which makes travelling by Principal or Housemaster/ Housemistress,
air quick and convenient. • A place can then be secured by receipt of any confidential information about a pupil if
the deposit. he considers that it is in the pupil’s own
Once you have arrived on interest or necessary for the wellbeing of the
• A request will follow for the remainder of school community that he should do so.
the Island the School is
the course fee, six weeks before the start
just two minutes from the
Edinburgh of the course. This needs to be paid in full BANK DETAILS
airport! before we can accept a student. Bank: HSBC, Douglas, IOM
Account name: King Williams College
Belfast
Flight operations may FEE Sort code: 401938
ISLE OF MAN
change due to Covid-19. The fee for the Summer Term Boarding Account number: 12795388
Manchester Experience course is £3,000. This covers IBAN: GB61MIDL40193812795388
Liverpool tuition, teaching materials, accommodation, BIC: MIDLIM21XXX (GB only)
food, laundry and all activities and excursions. Swift: MIDLGB22 (Overseas only)
Birmingham
DEPOSIT Please ensure that the pupil’s name and
A deposit of £1,000, is required to secure a ‘STBE’ appears as a reference, so we are
Bristol London place. able to credit the correct account.
the Principal the removal is in the School's best interests or short-term, including any infections. If the School so
Parent Contract - Terms and Conditions those of your child or other children. requires due to a health risk either presented by your child
to others or presented to your child by others or by reason
(b) The Principal has absolute discretion to require you to
of a virus, pandemic, epidemic or other health risk, you
1. DEFINITIONS agreement between the parties. It is not intended that the remove or to suspend your child if the behaviour of you or
undertake to keep your child at home and not permit
terms of the contract shall be enforceable by your child or any/either of you is, in the opinion of the Principal,
(a) In these terms and conditions him/her to return to the Summer Term Boarding
by any other third party. unreasonable and affects or is likely to affect adversely the
Experience until such time as the health risk has been
"Child" or "Pupil" means a natural person admitted by child's or other children's progress at the Summer Term
averted.
the School to be educated as a pupil and includes any pupil Boarding Experience or the well-being of School's staff, is
2. REGISTRATION AND DEPOSIT likely to bring the School into disrepute or where relations (b) You undertake to inform the Summer Term Boarding
aged 18 or over;
(a) On receiving the Registration Form and current school between you and the School have broken down. Experience of any situations where special arrangements
"The Complaints Procedure" is the School's procedure may be needed in relation to your child.
report an interview will be arranged. The formal offer of a (c) Should the Principal exercise any of the discretions
for handling complaints from parents, as amended from
place, if applicable, will follow. A place will then be secured under sub-clause 6(a) or 6(b) above you will not be entitled (c) The School is entitled to treat any instruction, authority,
time to time for legal or other substantive reasons or in
on receipt of the deposit. to any refund. request or prohibition received from any person who has
order to assist the proper administration of the School.
Parents will be given notice of such amendments; (b) The deposit is not refundable if your child does not signed the Acceptance Form as having been given on behalf
(d) The examples set out in the School Rules of behaviour
take up a place on the Summer Term Boarding Experience. of both or all such persons.
"Deposit" means the sum set out in the Schedule of Fees likely to result in suspension or expulsion are not exhaustive,
as amended from time to time. Parents will be given notice nor do they limit the discretion of the Principal in relation (d) We cannot accept any responsibility for the welfare of
of such amendments; 3. FEES to such matters. In particular, the Principal may decide that your child while off the School premises unless he/she is
suspension or expulsion for a lesser offence is justified taking part in a Summer Term Boarding Experience activity
"Fees" means the fees set out in the Schedule of Fees as a) All the costs incurred, including the provision of any where there has been previous misbehaviour. or otherwise under the supervision of a member of the
amended from time to time. Parents will be given notice of necessary educational materials, shall be met by the fee School staff.
such amendments; unless otherwise notified by the School. (e) If you do consider that the Principal or the School has
not acted in a way which is fair in all the circumstances when
"Governors" means the Directors of King William's (b) Each person who has signed the Acceptance Form is taking decisions under this Clause 6, your right to seek a 8. INSURANCE
College for the time being; liable for the whole of the fee due. The persons who have review of the decision is governed by the Complaints
signed the Acceptance Form remain liable to the School for You must make your own insurance arrangements if you
"King William's College" means the senior part of the Procedure.
the whole of the fee unless the School has agreed in writing require cover for your child's person or property while at
School which operates primarily from the King William's Summer Term Boarding Experience. Your child is included
to look exclusively to any other person for payment of the
College site; 6. THE SCHOOL'S OBLIGATION in an obligatory personal accident insurance scheme, the
fee.
"Principal" means the person appointed by the Governors charge for which is included in the Fee.
(c) The Fee is payable in full six weeks in advance prior to (a) In accordance with the law, we will not subject your
to be responsible for the day-to-day management of the child to corporal punishment. We will not subject your child
the start of the course.
School, including anyone to whom such duties have been to physical contact except where such contact may be 9. CONFIDENTIALITY AND REFERENCES
duly delegated; (d) We reserve the right to refuse to allow your child to deemed appropriate in order to avert an immediate danger
attend the School while the fee remains unpaid. (a) You consent to our supplying information and a
"Registration Form" means the form provided by the of personal injury to, or an immediate danger to the
reference in respect of your child to any educational
School for parents to complete when accepting a place for property of, a person (including your child). Unless you
institution (including a further education institution) which
their child at the School; 4. SCHOOL RULES notify us to the contrary, to participating, under proper
you propose your child may attend. Any reference supplied
supervision, in contact sports and in other normal sports
"School Rules" means the rules of the School, as those (a) It is a condition of continuing attendance at the by us shall be confidential. We will take care to ensure that
and activities which may entail some risk of physical injury.
rules may be amended from time to time. Parents will be Summer Term Boarding Experience that your child all information that is supplied relating to your child is
given notice of such amendments; complies with the School Rules. In particular you undertake (b) If your child requires urgent medical attention while accurate and any opinion given on his/her ability, aptitude
to ensure that your child attends punctually and conforms under the Summer Term Boarding Experience's care, we for the course and character is fair. However, we do not
"Terms and conditions" means these terms and will if practicable attempt to obtain your prior consent. accept any liability for any loss you are or your child is
to such rules of appearance, dress and behaviour as shall
conditions as amended from time to time. Parents will be However, should we be unable to contact you agree that we alleged to have suffered resulting from opinions reasonably
be issued by the School.
given notice of such amendments; are authorised to make the decision on your behalf should given in or correct statements of fact contained in any
(b) The School reserves the right to undertake drugs consent be required for urgent treatment (including reference or report given by us.
"We" or the "School" means King William's College,
testing of pupils in accordance with its drugs policy as set anaesthetic or operation) recommended by a doctor.
registered charity number 615, a company incorporated in (b) You consent to us making use of information relating
out in the School Rules.
the Isle of Man under number 52022C, which trades as (c) The School is a Christian Foundation and compulsory to your child whilst he or she is at the Summer Term
King William's College and The Buchan School; (c) The School reserves the right, subject to applicable data religious observance at the Summer Term Boarding Boarding Experience and after he or she has left for the
protection legislation, to monitor your child's email comm- Experience is conducted in accordance with the School purposes of managing relationships between the School and
"You" or the "Parents" means each person who has
unication and internet use whilst on School premises for Rules. current pupils, providing references and communicating
signed the Registration Form as parent, stepparent or
the purpose of ensuring compliance with the School Rules. with the body of former pupils.
guardian of a child or a person who, with the School's
written consent, replaces a person who has signed the 7. THE PARENTS' OBLIGATIONS
Registration Form. 5. DISCIPLINARY PROCEDURES 10. PHOTOGRAPHY OF PUPILS
(a) It is a condition of your child's joining the Summer
(b) The Registration Form, the Schedule of Fees, the (a) The Principal has absolute discretion to require you to Term Boarding Experience that you complete and submit to The School reserves the right to use group photographs of
School Rules, the Complaints Procedure and these terms remove or to suspend your child from the Summer Term the School a medical questionnaire in respect of your child. its Summer Term Boarding Experience pupils from time to
and conditions, as any or all of these may be amended from Boarding Experience if it is considered that your child's You undertake to inform the School without delay of any time in marketing publications and on its website.
time to time, together form the terms of the contract attendance or behaviour (including behaviour outside health or medical condition, disability or allergy that your
between you and the School and constitute the entire school) is unsatisfactory and in the reasonable opinion of child has or subsequently develops, whether long-term or
SUMMER TERM BOARDING EXPERIENCE
11. INTELLECTUAL PROPERTY RIGHTS months, the School shall notify you of the steps it shall take
REGISTRATION FORM
to ensure performance of the agreement.
We shall recognise any intellectual property rights vested in
your child. (d) In the event of a force majeure which affects your
APPLICANT DETAILS
ability to perform any of your obligations under this
agreement, you shall give the School notice in writing of the Full Forename(s): ....................................................................... Surname: ....................................................................................
12. CHANGES IN OWNERSHIP ETC
force majeure. You shall not be liable for non-performance
For the purposes of constitutional changes to the School of such obligations during the continuance of the force The name should be the applicant’s full legal name, as on their passport.
or amalgamation we reserve the right to transfer the majeure but in the event of the force majeure continuing
undertaking of the School to any other natural or legal for more than four months, you must discuss with the Preferred Name: ........................................................................ Gender: .......................................................................................
person, and to assign the benefit of this contract in School a solution by which this agreement may be
connection with any such transfer, and/or to amalgamate performed or you will become so liable. Date of Birth: ............................................................................. Year Group: ...............................................................................
the School with any other educational institution. Where
appropriate we will inform and consult with all parents in
15. COMMUNICATIONS
relation to such changes. Current School: ....................................................................... Address: ......................................................................................
All notices required to be given under these terms and
conditions must be given in writing, which for the avoidance ...........................................................................................................................................................................................................................
13. TERMINATION
of doubt includes email unless otherwise stated. You
(a) The School shall be entitled to terminate this agreement undertake to notify the Summer Term Boarding Experience Email: .......................................................................................... Name of Head: .........................................................................
forthwith by notice in writing to you and without prejudice of any change of address of any person who has signed the
Date of Entry: ...........................................................................
to its other remedies and without any obligation to return Acceptance Form. Communications (including notices) will
any deposit or fee paid to you if you are in material breach be sent by the School to the address shown in its records,
of any of your obligations and have not (in the case of a and/or, where appropriate, by email. Notices that you are
breach which is capable of remedy) remedied the same required to give under these terms and conditions must be Nationality: ............................................................................... Place of Birth: ...........................................................................
within 14 days of a notice from the School requiring it to be addressed to the Head of Boarding, Mr Edmund Jeffers,
remedied (including non-payment of fee or charges or and sent to the School's address. If sent by first class post, Religion (optional): .................................................................... Is English the applicant’s first language? YES/NO
material default under these terms and conditions). notice shall be deemed to have been given on the second
day after posting. Notices sent by email will be deemed to Language(s) spoken at home: ..................................................
(b) The School may terminate this agreement forthwith by
arrive immediately they are despatched.
notice in writing to you and without prejudice to its other
remedies if you, or any of you become unable to pay your Which adult(s) has legal responsibility for the applicant? In almost all cases where the applicant’s natural mother and
debts or is declared bankrupt; you may terminate this 16. DATA PROTECTION father are named on the birth certificate, both will retain parental responsibility regardless of marital circumstances. Both
agreement forthwith by notice in writing to us if the School
King William’s College requires to process personal data in the natural mother and father must therefore give permission for the child to apply for a place on the Summer Term
becomes insolvent or goes into liquidation or receivership or
relation to you and your child for the purposes of
is wound-up for any reason. Boarding Experience.
administration and education. This personal data is
processed in accordance with the requirements of current ADULT 1 (mother/father/other, please specify):
14. FORCE MAJEURE data protection legislation. Please see our policies for further
details. ........................................................................................................ Title: ............................................................................................
(a) In this agreement "force majeure" shall mean any cause
beyond a party's control (including for the avoidance of
Full Forename(s): ....................................................................... Surname: ....................................................................................
doubt strikes, other industrial disputes, act of God, war, riot, 17. INTERPRETATION
civil commotion, compliance with any law or governmental Home Address: ..............................................................................................................................................................................................
Headings in these terms and conditions are for ease of
order, rule, regulation or direction (including that of a local
understanding only and do not form part of these terms
authority), accident, fire, flood, storm, pandemic or ...........................................................................................................................................................................................................................
and conditions.
epidemic of any disease, terrorist attack, chemical or
biological contamination). Email: .......................................................................................... Tel (Home): ...............................................................................
18. JURISDICTION AND GOVERNING LAW
(b) In the event of a force majeure arising which prevents
Tel (Work): ................................................................................. Tel (Mobile): ..............................................................................
or delays the School's performance of any of its obligations The Proper Law of this contract between you and the
under this agreement, the School shall forthwith give you School shall be that of the Isle of Man and the parties shall Days of the week applicant resides at this address: ................
notice in writing specifying the nature and extent of the submit to the jurisdiction of the Manx courts.
circumstances giving rise to the force majeure. Provided that
the School has acted reasonably and prudently to prevent
19. VARIATIONS ADULT 2 (mother/father/other, please specify):
and minimise the effect of the force majeure, the School
will have no liability in respect of the performance of such We reserve the right to change or add to these terms and ........................................................................................................ Title: ............................................................................................
of its obligations as are prevented by the force majeure conditions from time to time for legal, safety or other
while it continues. The School shall use its best endeavours substantive reasons or in order to assist the proper delivery Full Forename(s): ....................................................................... Surname: ....................................................................................
during the continuance of the force majeure to provide of education at the Summer Term Boarding Experience.
educational services. The Summer Term Boarding Experience will send you Home Address: ..............................................................................................................................................................................................
notice of any such modifications.
(c) If the School is prevented from performance of its ...........................................................................................................................................................................................................................
obligations for a continuous period greater than four
Page 1 of 3
Email: .......................................................................................... Tel (Home): ............................................................................... If ‘Yes’ you must send us relevant educational or clinical psychologists’ reports and explain what additional support the
Tel (Work): ................................................................................. Tel (Mobile): .............................................................................. applicant currently receives. Educational, physical, behavioural or other special needs do not preclude application for a
place. Each such applicant for entry will be individually considered to determine whether sufficient reasonable adjustments
Days of the week applicant resides at this address: ................
are needed and reasonable aid required, to enable them to thrive (continue in a covering letter if necessary).
...........................................................................................................................................................................................................................
Marital Status of Natural Parents Is there a Care and Control Order or Residential
...........................................................................................................................................................................................................................
At child’s birth Current status Order in place for the applicant? YES/NO
Married * *
Divorced * * If ‘Yes’ name the person who holds the Care Order: DECLARATION
Partners (not married) * * ........................................................................................................
I confirm that I have read and understood the Parent Contract contained in this Guide. I agree to abide by these conditions,
* *
together with any amendments on which the Governors may decide and by the school rules. I understand that the fees are
Single
payable six weeks before the first day of the course.
Separated * *
Widow(er) * * We request that the name of the applicant be registered as a Summer Term Boarding Experience pupil AND confirm payment
Separated (never married) * * of the non-refundable deposit of £1,000.
We understand that:
Are there any other adults with whom the applicant currently lives? YES/NO If ‘Yes’, please give details below: 1. The School may process personal data about our child, including sensitive personal data, such as medical details, for the
ADULT 3 (mother/father/other, please specify): purpose of administering its list of prospective pupils and administering its selection procedures, and we consent to the
........................................................................................................ Title: ............................................................................................ processing of our child’s personal data for these purposes;
Full Forename(s): ....................................................................... Surname: .................................................................................... 2. In the event that our child is offered a place at the School, such an offer will be subject to the School’s terms and conditions
for the provision of educational services, which will bind us in the event that we accept the place;
Home Address: ..............................................................................................................................................................................................
3. A deposit is payable on acceptance of a place. The deposit is £1,000 for the course payable by Bank Transfer;
...........................................................................................................................................................................................................................
4. We, the signatories, as below, will be jointly and severally liable for payment of the course fee.
Email: .......................................................................................... Tel (Home): ...............................................................................
Tel (Work): ................................................................................. Tel (Mobile): .............................................................................. ADULTS WITH LEGAL RESPONSIBILITY
Days of the week applicant resides at this address: ................ ADULT 1
Full Forename(s): ....................................................................... Surname: ....................................................................................
ADULT 4 (mother/father/other, please specify):
Signature:
........................................................................................................ Title: ............................................................................................
Full Forename(s): ....................................................................... Surname: .................................................................................... ........................................................................................................ Date: ...........................................................................................
Home Address: ..............................................................................................................................................................................................
ADULT 2
...........................................................................................................................................................................................................................
Full Forename(s): ....................................................................... Surname: ....................................................................................
Email: .......................................................................................... Tel (Home): ...............................................................................
Signature:
Tel (Work): ................................................................................. Tel (Mobile): ..............................................................................
Days of the week applicant resides at this address: ................ ........................................................................................................ Date: ...........................................................................................
Is there anyone else with legal responsibility whose consent is required prior to the pupil attending the school?
This form, together with the deposit, Medical Questionnaire and a copy of your child’s passport or birth
YES/NO If ‘Yes’, please give details in a covering letter.
certificate, must be sent to: The External Relations Office, King William's College, Castletown, Isle of Man, IM9 1TP
LEARNING SUPPORT Email admissions@kwc.im Telephone +44 (0) 1624 820110
Is the applicant currently receiving or previously been assessed for special education requirements, emotional or
behavioural needs or medical problems? YES/NO
Page 2 of 3 Page 3 of 3SUMMER TERM BOARDING EXPERIENCE
MEDICAL QUESTIONNAIRE
To be completed by Parent/Guardian
PUPIL
First Name .......................................................................... Surname ......................................................................................
Date of Birth .......................................................................... Gender ......................................................................................
Home Address ....................................................................................................................................................................................
...........................................................................................................................................................................................................................
Telephone (home) ......................................................................... (mobile) .........................................................................................
Place of Birth ....................................................................... Nationality ......................................................................
Ethnic Origin ....................................................................... Official Guardian ......................................................................
1st Emergency Contact: Name ..................................................................................... Relationship to pupil ..............................
Address ....................................................................................................................................................................................
Telephone (home) ................................................. (work) ................................................ (mobile) .................................................
2nd Emergency Contact: Name .................................................................................... Relationship to pupil ..............................
Address ....................................................................................................................................................................................
Telephone (home) ................................................. (work) ................................................ (mobile) .................................................
3nd Emergency Contact: Name ..................................................................................... Relationship to pupil .............................
Address ....................................................................................................................................................................................
Telephone (home) ................................................. (work) ................................................ (mobile) .................................................
Home Doctor (name, address and telephone number) PRIVATE £ NHS £
...........................................................................................................................................................................................................................
...........................................................................................................................................................................................................................
Do you give consent for your child to be given medication? YES £ NO £
Do you give consent for your child to be given first aid? YES £ NO £
Do you give permission for the Principal, or his appointed representative, to sign for a General Anaesthetic for
my child in an emergency, if all attempts to reach me have failed? YES £ NO £
Is there any known sensitivity to drugs? YES £ NO £
If yes, please give details ............................................................................................................................................................................
Are there any medical conditions? YES £ NO £
If yes, please give details ............................................................................................................................................................................
Please give details and dates of any surgical operations .............................................................................................................
...........................................................................................................................................................................................................................
Is your child taking regular medication? YES £ NO £
If yes, please state medicines and dosage ................................................................................................................................................
...........................................................................................................................................................................................................................
Has your child been diagnosed with Autism, Asperger’s or ADHD? YES £ NO £
“My son enjoyed spending three weeks in the College, making If yes, please give details and state if your child is on medication .....................................................................................................
Is your child covered by private medical insurance? YES £ NO £
good friends, speaking with teachers who were very available If yes, please state company and Insurance Number ............................................................................................................................
to students, learning English and having fun during the Does/has your child any hearing or sight problems? If yes, please state:
weekend. Thank you.” ...........................................................................................................................................................................................................................
Do you give permission to share this information with learning support? YES £ NO £
PLEASE COMPLETE OVERLEAFHas your child had any infections such as chicken pox, glandular fever or others? If yes, please state and give year:
...........................................................................................................................................................................................................................
Has your child been inoculated against the following conditions? If yes, please give date of last injection and attach
any records of vaccinations if available. Please supply an up to date inoculation list from your GP surgery. “The time I spent at King William’s College was fantastic!
Diphtheria .................... Measles .................... HPV (human papilloma virus) ....................
Whooping Cough .................... Mumps .................... BCG (TB vaccine) .................... Before I arrived I had no idea what boarding would be like.
Tetanus Toxoid .................... Rubella .................... Meningitis B ....................
I couldn’t imagine the English girls and I together as friends in a
Polio .................... All 3 in combination .................... Meningitis C ....................
HIB .................... Meningitis ACWY .................... classroom, not because I expected them to be different, but because I
All 5 in combination .................... Pneumococcal vaccine .................... was afraid that I wouldn’t have the confidence.
Covid Vaccination Status: YES £ NO £ If yes, please fill in below:
1st : Batch ............................... Make .................................................................... Date .................... But now, at the end of three weeks, I have had a change of heart.
2nd: Batch ............................... Make .................................................................... Date ....................
My opinion of boarding is different and I’m really going to miss all
Isle of Man Public Health includes KWC in the school vaccination programme. Do you give consent for us to share
your contact details with them for the purposes of the school vaccination programme? YES £ NO £ the girls. I have got used to the place and feel at home. I listened to
lots of stories and I was surprised by the relationship between
Is your child prescribed an Epipen? YES £ NO £
If yes, please provide a copy of the current Allergy Plan from your consultant or GP. Do you give consent for your child
boarders and their tutors.
being administered an Epipen as prescribed should they have an anaphylactic shock? YES £ NO £
It is the parents/guardians responsibility to ensure their child has an Epipen with them at all times, a spare should be held
Apart from improving my English, I also learned about boarding, for
in the Medical Centre. example, to be independent from your family and to try and solve
FOR PUPILS WITH ALLERGIES/INTOLERANCES ONLY. Please give details: problems on your own, how to get on with people and how to
Substance Reaction (what happens?) Treatment organise yourself and get up in the morning!
.................................................. .................................................................................. ......................................................................
.................................................. .................................................................................. ...................................................................... If I look back to the moment I sat on the plane and was afraid of
.................................................. .................................................................................. ......................................................................
what it was going to be like, I have to laugh.”
FOR PUPILS WITH ASTHMA ONLY - Please provide an up to date Asthma Plan available on www.asthma.org.uk
Is your child on prescribed medication? YES £ NO £
If yes, do you give consent for your child to be given emergency ventolin inhaler, if necessary, by the Nurse in the school’s
Medical Centre? YES £ NO £
It is the parents/guardians responsibility to ensure their child, if an asthmatic, have an inhaler with them at all times, one
that has not expired, a spare should be held in the Medical Centre.
FOR BOARDING PUPILS ONLY
All boarding pupils, who do not reside in the IOM must remain registered with the school Doctor during their time at KWC
and see their home doctor as a temporary patient.
Has the school been sent your child’s National Health Medical card YES £ NO £
Does not have one £ Lost £ Please give NHS number (if possible) ...........................................................
I give consent for the Housemaster/Housemistress to act in loco parentis (in the place of a parent) for medical and dental treat-
ment, first aid, prescription and non-prescription medication YES £ NO £
DISCLAIMER - I certify that the information contained in this Medical Questionnaire is
correct to the best of my knowledge.
Signed: ......................................................................................................
Print Name: ...................................................................................................... Date: ............................King William’s College, Castletown, Isle of Man, IM9 1TP Telephone +44 (0) 1624 820110 Email: admissions@kwc.im Web: www.kwc.im
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