Schools are required by law to keep on record details of children admitted. We should therefore be grateful if you could complete all of the questions within this form when your child is admitted. A copy of your child’s long version birth certificate/passport and proof of address should be uploaded to this form when indicated for the School to place on file at the time of your child’s admission to primary education.
This form will take you approximately 20 minutes to complete. You will be able to save and return to the form later via an emailed link, if required. Please scroll down to the bottom of the form to save it.
Please enter your email address below to enable this function.
Pupil Address Details
Main (home address)
Alternative address (non term time)
If the child’s residence at the present address (whether living with parents or any other person) is not permanent, please state the reason and probable duration of the stay, and give the name and address of the person with whom the child normally resides:
It would be very helpful to have available the details of any siblings who are currently attending, have attended this school, or are likely to join this school at a later date.
Please include forename, surname, date of birth and current school for each sibling in the box below
Parent / Carer Details
Parent / Carer 1
Address (if different to pupil)
Parent / Carer 2
Address (if different to pupil)
OTHERS WITH PARENTAL RESPONSIBILITY AS DEFINED BY CHILDREN ACT 1989
Parental responsibility may be shared between a number of people beyond the child’s natural parents, for example those with a Parental Responsibility Order. Married parents have equal parental responsibility; on separation or divorce both parents continue to have responsibility. In such circumstances the school will forward copies of school reports, etc. to the separated parent if requested.
From time to time it may be necessary to contact someone during the school day, e.g. in the case of a child’s sickness. Please list below (in order of preference) all details of any additional person(s) from those above who we can contact on such an occasion.
Alternative contact 1
Alternative contact 2
Pupil Medical Information
Knowledge about your children’s health is vital if we are to help them to achieve their potential educationally. Would you please supply the following medical information about your child. This information will only be shared with relevant professionals within education and health who need to know in order to support your child in school. If you wish to discuss your child’s health confidentially, please contact the school office.
Disabilities - a child is considered to have a disability if their parent indicates substantial and/or long term difficulties with one or more of the areas listed below. Please exclude difficulties that you would expect for a child of their age.
Please tell us if your child has a health condition or has any healthcare needs that we need to be aware of, by completing a Healthcare Plan, detailing your child's needs whilst in school. If your child requires medication in school, please also complete the Parental Agreement for Setting to Administer Medicine form.
Links to these forms can be found in your admissions' information email.
If you have answered yes to the question above the School will contact you for further information.
Pupil Ethnic/Cultural Information
The Department for Education (DfE) has asked for the collection of the following information for all pupils.
FIRST LANGUAGE - the language to which your child was first exposed in their early childhood and which they continue to use or be exposed to at home or in your community.
Additional Pupil Information
Service Children in Education Indicator – are one or both parents Service personnel, serving in regular military units of any of the HM Forces, or in the Armed Forces of another nation and stationed in England and exercising parental care and responsibility?
Previous School History
DATA PROTECTION STATEMENT: The purpose of this form is to collect data for further processing within the school/Local Authority/Health Authority systems. The data will be processed in accordance with the purposes notified by the school/Local Authority/Health Authority to the Data Protection Commissioner's office and are subject to the Data Protection Act and the General Data Protection Regulation (EU) 2016/679. The information given will be entered onto a computer and will form part of the School’s database. Please refer to our Pupil and Parent Privacy Notice on our website for further information on how we collect and use pupil information.
Entering your name in the signature box below on this form implies your consent for the school/Local Authority/Health Authority to process the data.
DECLARATION OF PERSON WITH LEGAL RESPONSIBILITY:
I declare the above information to be correct to the best of my knowledge at the time of completion.
I agree to notify the school of any change in my child’s circumstances.
Parent/Carer Consent Form
At Stoke Poges School we use information about your child in a number of different ways, and we'd like your consent for some of the ways we use this personal data. We set these out in more detail below. If you are not happy for us to use information in the ways we list, that's no problem - we will accommodate your preferences.
Similarly, if you change your mind at any time, you can let us know that you wish to withdraw your consent by emailing firstname.lastname@example.org calling school on 01753 643319, or by popping into the school office.
Thank you for completing the form below. If you have any concerns or questions about the form please contact the school office on 01753 64 3319.
Third Party Consents
The school needs to provide some of your child's information to the third parties below in order for them to set up an account for you and provide essential school services to you.
Use of Image / Photographs
Here at Stoke Poges School we are extremely proud of the many opportunities that the children have and the many activities and learning experiences they encounter. We endeavour to show the diversity of our school positively in many ways. We therefore regularly take photographs, video clips and webcam recordings of the children, which can be used for assessment purposes, in our schools prospectus (or other printed publications that we produce), on displays around the school, in our school news bulletin, on our school website and on our Facebook page or Twitter feed. Occasionally the local press may feature the School in their publications.
We would like your consent to take photos of your child, and use them in the ways described above.
We will not use the personal details or full names of any child in a photographic image, on video, on our website, in our school prospectus or in any other printed publications.
If we use photographs of individual pupils, we will not use the full name of that child in the accompanying text or photo caption.
We may use group or class photographs or footage with very general labels, such as 'a science lesson' or 'making decorations'.
Only appropriate images will be taken of your child.
Consent to Local Off Site Visits and Medical Treatment
I also understand that my child may leave the school premises for Educational Visits when I will be informed separately by letter and when further consent will be required from me.
If your child has a health condition or has any healthcare needs that we need to be aware of, please complete a Healthcare Plan, detailing your child's needs whilst in school. If your child requires medication in school, please also complete the Parental Agreement for Setting to Administer Medicine form.
Links to these forms can be found in your welcome information email.
The school undertakes fundraising to enable us to improve the pupils learning environment and to augment its learning resources, thus supporting and encouraging each pupil to reach their full potential. We would like to contact you from time to time to make you aware of opportunities to participate in, or contribute to, fundraising activities by the school or the PTA. Contact will always be from the school directly, your details are never disclosed to third parties.
Occasionally we will wish to contact you about services that may be of interest to you and your child, for example music lessons, extra-curricular clubs, holiday camps, school photos.
Authorisation for sharing my child's name.
Thank you for completing this form. This form is valid for the period of time your child attends this school but in accordance with best practice we will ask you to complete a second form when your child moves from Key Stage 1 to Key Stage 2 if applicable.
If your child has medical needs, please remember to complete a Healthcare Plan and Parental Agreement to Administer Medicines Form (if applicable).