Future Pathways & Flexi Information Document

Provision: Evolution Education – 100% Sports & Education

Induction Date

Programme

Future Pathways

Flexi Programme

1. Student Details

Student Name

Preferred Name

Date of Birth

Year Group

Student Mobile (if applicable)

Home Address

Postcode

2. Parent / Carer Details

Parent / Carer Name

Relationship to Student

Phone Number

Email Address

Emergency Contact Name

Emergency Contact Number

3. Medical Information

This section is to ensure staff are aware of any relevant medical needs. Please also complete the full Medical Information Form where appropriate.

Does the student have any medical conditions we should be aware of?

Yes

If yes, please provide details Does the student take medication during the school day?

Yes

If yes, details Any allergies?

4. Student Information

What are some things you enjoy doing? What do you find difficult in school? What would you like to achieve while attending this programme?

5. Behaviour Expectations

Students attending Evolution Education are expected to:

Treat staff and other students with respect
Follow instructions from staff
Engage in learning and activities
Follow centre rules and safety guidance

If these expectations are not followed, the centre may:

Contact parents / carers
Contact the referring school
Arrange a review meeting

6. Photo & Media Consent

Do you give permission for photographs of the student to be used for educational records or displays?

Yes

Do you give permission for photographs of the student to be used for promotional materials (website / social media)?

Yes

7. Consent

I confirm that the information provided is correct and I understand the expectations of the programme.

Parent / Carer Name

Signature

Date

Student Agreement

I understand the expectations and will do my best to follow them.

Student Name

Signature

Date

8. Staff Completion

Induction completed by

Start Date

Review Date

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