Year 7 Student Admission Form

STUDENT INFORMATION
(PLEASE USE BLOCK CAPITALS)
Name *

First names Middle names Student’s surname
Date of birth: *

Day Month Year
Date
Address *
Postcode *
Telephone *
Name of your previous school attended *
If you live in Hackney Please check the Box Below *

YES NO
If no indicate Borough:

Name of Parent / Carer Priority 1 *
Relationship: *
Address *
Postcode *
Home Telephone *
Mobile Number *
Work address:
Work telephone number:
Home Email: *
example@example.com

Name of Parent / Carer
Priority 2:
Name of Parent / Carer Priority 2 *
Relationship: *
Address *
Postcode *
Home Telephone *
Mobile Number *
Work Address
Work Telephone Number
Home Email Address
example@example.com
Please give name, address and telephone number of another person whom the Academy can contact in an emergency: MUST BE PROVIDED
Name of Contact:
Relationship
Address
Postcode
Mobile Telephone
Work Telephone Number
Home Email:
example@example.com
Is your child supported by a social worker/Young Hackney or any other service *
Yes or No
Name of Social Worker
Telephone number

PARENT DISABILITY:
Does the parent / carer have a disability / medical condition thatwe should know about? Please answer YES / NO *
If yes, please give details
Is your child a registered Young Carer? *
TRAVEL ARRANGEMENTS:

Please Check the appropriate choice
Please check the appropriate choice:

Bicycle
Please check the appropriate choice:

London Underground
Please check the appropriate choice:

Car / Van
Please check the appropriate choice:

Train / Rail
Please check the appropriate choice:

Taxi
Please check the appropriate choice:

Public Bus Service
Please check the appropriate choice:

Walk Other
Route:

DIETARY NEEDS / MEAL ARRANGEMENTS
Please tick the appropriate choice of lunch arrangements – we understand these may change:

Free School Meal
Please tick the appropriate choice of lunch arrangements – we understand these may change:

Paid School Meal
Please tick the appropriate choice of lunch arrangements – we understand these may change:

Food from home
Does your child have any special dietary needs?
MEDICAL INFORMATION FORM
Name *

First names Middle names Student’s surname
Date of birth: *

Day Month Year
Date
Name of Doctor / GP *
Address for Doctor / GP *
Postcode *
Doctors Telephone Number *
Does your child have a disability? *
If yes please give details
Does your child suffer from any medical condition such as Asthma etc? *
If yes please give details
Does your child take any medication? *
If yes please give details of medication
Does your child suffer from allergies such as hayfever eczema etc ? *
If yes please give details of the allergies
Prescribed medicines should only be taken to school where it would be detrimental to your child’s health if it were not administered during the school day.

It is very important for the Academy to have sufficient information about the medical condition of any child at the earliest point possible.

In instances of a medical condition having a substantial impact on the child’s provision, the Academy will draw up an individual Health Care Plan.

For further information, please contact the office.

CONSENT FORMS
Student’s Surname: (Block capitals)
Student’s First Names: (Block capitals)
Please mark the box’s provided and sign below if you give consent to the activities listed to indicate your agreement:
Educational Visits
Please provide consent for your child :

a)    To take part in school trips and other activities that take place off school premises;
b)    To be given first aid or urgent medical treatment during any school trip or activity.

Please note the following important information before giving your consent:
The trips and activities covered by this consent include;

o   all visits (including residential trips) which take place during the holidays or a weekend
o   adventure activities at any time
o   off-site sporting fixtures outside the school day,
o   all off-site activities for nursery schools.

The school will send you information about each trip or activity before it takes place and you may tell the school that you do not want your child to take part in any particular school trip or activity.

Written parental consent will not be requested from you for the majority of off-site activities offered by the school – for example, year-group visits to local amenities as such activities are part of the school’s curriculum and usually take place during the normal school day.
Details of any medication my child should take during off-site visits:
I give consent for my child to participate in Educational Visits as described above
Extension Activities
I give consent for my child to take part in enrichment activities and clubs which will take place at the end of the school day
Intervention Activities
I give consent for my child to take part in enrichment activities and clubs which will take place at the end of the school day
Personal data collected will be processed in accordance with our obligations under the relevant Data Protection Legislation. A full privacy statement and copy of the Academy Data Protection policy can be found on the Academy Website www.bridgeacademy.hackney.sch.uk
Use of Digital Images - Photography and Video
To comply with the Data Protection Act 2018, we need your permission before we can photograph or make recordings of your daughter / son.

We follow the following rules for any external use of digital images:

If the student is named, we avoid using their photograph.
If their photograph is used, we avoid naming the student.

Where showcasing examples of students work we only use their first names, rather than their full names.

If showcasing digital video work to an external audience, we take care to ensure that students are not referred to by name on the video, and that students’ full names aren't given in credits at the end of the film.

Only images of students in suitable dress are used.

Staffs are not allowed to take photographs or videos on their personal equipment.

Examples of how digital photography and video may be used include:
- Your child being photographed (by the classroom teacher, teaching assistant or another child) as part of a learning activity; e.g. photographing children at work and then sharing the pictures on the Interactive whiteboard in the classroom allowing the children to see their work and make improvements.
- Your child’s image for presentation purposes around the school; e.g. in school wall displays and PowerPoint presenta tions to capture images around the school or in the local area as part of a project or lesson.
- Your child’s image being used in a presentation about the school and its work in order to share its good practice and celebrate its achievements, which is shown to other parents, schools or educators; e.g. within a CDROM / DVD or a document sharing good practice; in our school prospectus or on our school website. In rare events, your child’s could appear in the media if a newspaper photographer or television fi lm crew attend an event.
Note: If we, or you, actually wanted your child’s image linked to their name we would contact you separately for permission, e.g. if your child won a national competition and wanted to be named in local or government literature.
I give permission for the Academy to use my child’s image as described above *

Use of digital images - photography and video: I also agree to the school using photographs of my child or including them in video material, as described in the document ‘Use of digital images photography and video’. I have read and understood this document. I understand that images will only be used to support learning activities or in publicity that reasonably promotes the work of the school, and for no other purpose. I dont give permisson
CONSENT
I consent to the following special categories of data provided on this form being processed by the Bridge Academy for the following reasons:
Tick Each Box to confirm consent *

Ethnicity data – To allow the academy to monitor and support students’ education and wellbeing, ensuring that each ethnic group receives the support necessary and ensuring no form of discrimination either direct or indirect takes place Nationality data – To comply with our statutory obligation to provide this data to the Department of Education Medical data – to ensure students receive appropriate medical support including treatment in a First Aid Situation
You may refuse to provide consent for the Academy to process this data without detriment and may withdraw your consent at any time by writing to the Academy.

All data is collected and processed for the performance of the Academy’s public duties or in the exercise of its official authority. Please see www.bridgeacademy.hackney.sch.uk for a full privacy notice relating to student data.
Name of person completing this form *
Relationship to child *
Signature *

Clear
Date *

Day Month Year
Date

The Bridge Academy, Hackney.A company limited by Guarantee registered in England and Wales with company number 5195911 and an exempt charity for the purposes of the Charities Act 2011. Registered Office: c/o Buzzacott LLP, 130 Wood Street, London, EC2V 6DL. DFE Registration No: 2046907.
Please verify that you are human *
Should be Empty:

STUDENT INFORMATION

(PLEASE USE BLOCK CAPITALS)

Name of Parent / Carer

Priority 2:

PARENT DISABILITY:

TRAVEL ARRANGEMENTS:

DIETARY NEEDS / MEAL ARRANGEMENTS

MEDICAL INFORMATION FORM

SKILLS AUDIT

LANGUAGES

Year 7 Aim Higher Project Questionnaire

ETHNICITY QUESTIONNAIRE

White:

Mixed:

Black or British:

Any Other Ethnic Group:

CONSENT FORMS

Educational Visits

Extension Activities

Intervention Activities

Use of Digital Images - Photography and Video

CONSENT