Online Pupil Data Collection Form

  • Online Pupil Data Collection Form

  • Before completing this form, please ensure you have read the letters and information for new starters on our website:

    www.lodgefarm.herts.sch.uk/about-us/new-starters

     

  • Has your child been allocated a Nursery, Reception or In Year school place?*

  • Child's Details

  • Child's Date of Birth*
     - -
  • Child's Gender*
  • Child's Religion*

  • Please ensure you have read the letter entitled - "Universal Infant Free School Meals" (Reception to Year only) and "Free School Meals/Pupil Premium" in the New Starters section on our school website.
  • Are you entitled to Free School Meals ?*
  • We may be able to claim additional funds for Service Children. Is your child's parent/s in the armed forces?*

  • Emergency Contacts

  • Please give details of all persons who have parental responsibility and anyone else you wish to be contacted in an emergency. Due to safeguarding regulations, we must have at least 2 emergency contacts. Please list in the order that you wish them to be contacted. These nominated people would need to be available at short notice in the event of an emergency.

  • Priority 1 Contact

  • Relationship to child*

  • We can claim extra funding through Early Years Pupil Premium to support children’s development, learning and care.

    Please ensure you have read the letter - "Early Years Pupil Premium" in the New Starters section on our school website before answering this question.

  • Would you like us to apply for Early Years Pupil Premium on your behalf?*

  • You may be entitled to Free School Meals. If you are eligible the school will receive additional funding called Pupil Premium. 

    Please ensure you have read the letters "Universal Infant Free School Meals" and Free School Meals/Pupil Premium Grant" in the New Starters section on our school website before answering this question.

  • Would you like us to apply for Pupil Premium on your behalf?*
  • Parent's Date of Birth*
     - -

  • Priority 2 Contact

  • Relationship to child*

  • We can claim extra funding through Early Years Pupil Premium to support children’s development, learning and care.

    Please ensure you have read the letter - "Early Years Pupil Premium" in the New Starters section on our school website before answering this question.

  • Would you like us to apply for Early Years Pupil Premium on your behalf?*

  • You may be entitled to Free School Meals. If you are eligible the school will receive additional funding called Pupil Premium. 

    Please ensure you have read the letters "Universal Infant Free School Meals" and Free School Meals/Pupil Premium Grant" in the New Starters section on our school website before answering this question.

  • Would you like us to apply for Pupil Premium on your behalf?*
  • Parent's Date of Birth*
     - -
  • Add a 3rd contact?*

  • Priority 3 Contact

  • Relationship to child*

  • Add a 4th contact?*

  • Priority 4 Contact

  • Relationship to child*

  • Mode of Travel

    Tick the appropriate choice. Where a pupil uses more than one mode of travel for each journey in school, the longest element of the journey by distance should be recorded.
  • Mode of Travel*

  • Medical Information

  • Does your child have any medical conditions that we should be aware of?*
  • I give permission for staff at Lodge Farm Primary School to obtain any medical treatment or assistance that may be necessary in the case of an emergency for my child.*

  • Dietary needs

  • Does your child have a Dietary Need?*

  • Meal arrangements

  • If you would like your child to have a school meal and they have an allergy or a special dietary requirement you must register this with our Catering Provider - Herts Catering, https://hcl.co.uk/allergy-overview before ordering school meals. 

  • Please select your meal arrangements

  • Local Trips

    These will generally be in the immediate vicinity of the school site and will usually involve a short walk. These trips will always be thoroughly planned and well-staffed but may happen on a regular basis. We will inform you when these occur.
  • I give permission for my child to attend local school trips.*

  • RE Curriculum

    Schools have a statutory right to teach the RE curriculum, but parents can withdraw their children for all or part of the lesson.
  • Do you wish to withdraw your child from religious education lessons?*

  • First Language

  • A first language other than English should be recorded where a child was exposed to the language during early development and continues to be exposed to this language in the home or in the community.

    If a child was exposed to more than one language (which may include English) during early development the language other than English should be recorded, irrespective of the child's proficiency in English.

    In the case of an older pupil who is no longer exposed to the first language in the home, and who now uses only another language, the pupil or parent can determine which language should be recorded.

  • First Language*

  • Ethnic Background

    Please study the list below and tick one box only to indicate the ethnic background of the pupil or child named above.
  • Ethnic group*
  • White*
  • Mixed*
  • Asian or Asian British*
  • Black or Black British*

  • Photo Consent

    Please ensure you have read the "Photo Consent" letter in the New Starter section on the school website before answering the following questions.
  • I am happy for the school to take photographs of my child in school and on school visits.*
  • I am happy for photos of my child to be used on the school website. *
  • I am happy for photos of my child to be used in the school prospectus.*
  • I am happy for photos of my child to be used in internal displays.*
  • I am happy for photos of my child to be used on the school’s Facebook page.*

  • School Comms/School Gateway - Communication Consent

  • Please ensure you have read the "School Comms/School Gateway" letter in the New Starters section on the school website before answering the following question.

  • I give permission for Lodge Farm Primary School to contact me via School Gateway using the contact email addresses and mobile numbers supplied in this form.*
  • I give permission for Lodge Farm to create and maintain a G Suite for Education account for my child and for Google to collect, use, and disclose information about my child only for the purposes described in the document on the New Starter page.*

  • Declarations

  • Lodge Farm Primary School collects data and information about parents / carers of our pupils so that we can operate effectively as a school. The schools privacy notice explains how and why we collect parent and carer data, what we do with it and what rights parents have.  If you would like to read our Privacy Notice please go to our school website.

    The information I have given on this form is complete and accurate.

    I understand that my personal information is held securely and will be used only for local authority purposes and to pass on to future schools to save it having to be asked for again.

     

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