Skip to content ↓
Altrincham
Grammar School for Boys
Home
About Us
Head Master's Welcome
Diversity, Equality and Inclusion at AGSB
AGSB Vision
Governors
Ofsted
Policies
Senior Leadership Team
Staff
Wellbeing and Pastoral Care
Academic Life
6th Form
Academic Subjects
Curriculum
Exam Results
Learning Support
Library
Pupil Premium
Welcome from our Senior Prefect
Altrincham
Grammar School for Boys
School Life
Careers and Higher Education
Co-Curricular Activities
LITERACY
House System
Music
Newsletters - School
Newsletters - Sports
Horizons Outreach
Publications
Sport
Story Wall
Trips and Visits
Admissions
6th Form External Applications
Admission Policies
Appeals
Catchment Area
Entrance Examination
Induction
In Year Transfers
School Prospectus
School Video
Community
Alumni
Old Alts
PFA
The Grammar
HET
Parents
Pupils
Staff
School Film
SOCS
Support Us
Calendar
News
Vacancies
Home
Home
Secure form area
Secure area 1
Forms
Asthma & Inhaler Users
Asthma & Inhaler Users
Parental Permission to use School Emergency Inhaler Kit
This will be the Blue inhaler (Salbutamol)
Student First name:
*
Student Surname:
*
3. Which school year is you child currently in?
*
7
8
9
10
11
12
13
Registration Form: eg. (7OL)
*
I can confirm that my child has been diagnosed with Asthma and has been prescribed an inhaler.
*
Yes
No
My child does not have Asthma but uses a blue inhaler for other medical purposes (Please detail below)
*
My child has a working, in-date inhaler clearly labelled with their name, which they will bring with them to school everyday.
*
Yes
No
In the event of my child displaying symptoms of Asthma (or other related breathing difficulties detailed above), and if their inhaler is not available or is unusable, I consent for my child to receive Salbutamol from an Emergency inhaler pack held by the school for such emergencies.
*
Yes
No
Parent/Guardian Name:
*
Contact Telephone Number:
*
Email address:
*
Submit
In this section
Asthma & Inhaler Users
Medical Conditions
Expression of Interest Form
Residential Trip Application Form
Day Trip application form