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New starter data forms

Child's details
 Please complete below:
First name (full legal name)
Last name of child (full legal name)
Middle names (full legal names)
Preferred forename (if different)
Preferred last name (if different)
Gender (male/female)
Date of birth (DD/MM/YYYY)
Child's full postal address, including post code
Current school and postcode
Name of any siblings at Horsell Junior
Child's ethnic/cultural details*
 Please enter
Country of birth
Ethnicity
Nationality
Religion
Child's first/home language
Additional languages spoken at home
Please give details of all persons who have parental responsibility and anyone else you wish to be contacted in an emergency. Place them in order that you wish for them to be contacted in an emergency.*
 Contact 1
Title
First name
Last Name
Relationship to child
Home address
Home telephone number
Mobile telephone
Work number (if applicable)
Email address
Parental responsibliity (Yes/No)
Would like to receive school communications (Yes/No)
 Contact 2
Title
First Name
Last Name
Relationship to child
Home address
Home telephone number
Mobile telephone
Work number (if applicable)
Email address
Parental responsibility (Yes/No)
Would like to receive school communications (Yes/No)
Permitted to collect child from school (yes/no)
Please provide a third contact, to be contacted in an emergency should the school not be able to contact contacts 1 and 2:*
 Contact 3
Title
First Name
Last Name
Relationship to child
Home telephone number
Mobile telephone
Permitted to collect child from school (yes/no)
Additional contact (optional, e.g. child minder, relative, family friend):
 
Title
First Name
Last Name
Relationship to child
Home telephone number
Mobile telephone
Permitted to pick up from school (Yes/No)
Dietary requirements (please tick all that apply and complete the dietary request form linked at the end of the questionnaire):
Please let us know if any of the following apply to your child:

Home School Agreement

Consent to visit local area:

Acceptable use of school's ICT and Internet Systems agreement

PTA Consent

I agree that my email address and/or phone number can be passed directly to the Class Representative(s) of my child’s class for the purpose of informing me of any information which is relevant to my child’s class (for example, but not limited to social events, obtaining volunteers for class/school events, information about Parent Teacher Association events).

I understand that my email address/phone number will be shared with other parents/carers of my child’s class in the circulation of such emails and text/Whatsapp messages by the Class Representative. I agree that my email address/phone number is stored and passed to the Class Representative for each year that my child is in attendance at the Horsell Junior School. I am also aware that I can withdraw my information at any time.

 YesNo
I agree to sharing my phone number with the PTA
I agree to sharing my email address with the PTA

Photo and Video Consent

I have read Horsell Junior School's photo and video policy attached at the end of this questionnaire and consent to my child being photographed and videoed for use on the school's:*
 YesNo
Website
Twitter feed
Facebook
Newsletters (please note a copy is uploaded to our website)
Prospectuses, flyers, leaflets and brochures
Other promotional school material (such as banners, signs and displays)
In and around the school building
In promotional materials to show the history of the school
To photographs being taken of my child (individual and group photos) by the school photographer. The group photos will be made available for other parents to purchase
I have read Horsell Junior School's photo and video policy attached at the end of this questionnaire and consent to my child being photographed and videoed for use on the school's:*
 YesNo
My child’s image may be taken, and used, by external providers e.g. National Trust, residential trip venues, museums.
I promise that if I, or members of my family, take photographs or video recordings these will be kept for family use and will not be uploaded to social media including WhatsApp.:

Additional information:

Cookie Policy