Online Pupil Data Collection Form

  • Online Pupil Data Collection Form

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

    www.icknieldwalk.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*
  • Does your child have a social worker or has your child ever had a social worker?*
  • Is your child adopted?*
  • Child's Religion*

  • We may be able to claim additional funds for Service Children.

  • Is the 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 and ideally more than 1 telephone number for each contact. 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*

  • Do you have parental responsibility?*

  • We will use your email address to send communications from the school including the weekly newsletter which will be sent to Contacts 1 and 2. If you would like the newsletter sent to a different person, please contact the school office.

  • Priority 2 Contact

  • Relationship to child*

  • Do you have parental responsibility?*
  • 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 Icknield Walk First School to obtain any medical treatment or assistance that may be necessary in the case of an emergency for my child.*
  • I give permission for the school to administer Calpol*

  • Special Educational Needs

  • Does your child have a Special Educational Need or Disability?*

  • Dietary needs

  • Does your child have a Dietary Need?*

  • Meal arrangements

  • Please ensure you have read the school meal information on our website which details the cost of school meals.

    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. 

    School meals are provided for nursery and school children where appropriate. Please indicate below which days you would like your child to have school meals. It is assumed that packed lunches will be provided from home on days when a school meal has not been requested.

  • Please select your meal arrangements*

  • Milk

  • Milk is provided free of charge for Nursery children. Please indicate below if you would like to order milk for your child.

  • I wish my child to have milk.*

  • 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 and Parent /Carer Permissions

  • I undertake to use any images (photographic or video) taken by our family members at a school organised event for private use only, and in an appropriate and protective manner to ensure all the school’s pupil’s welfare and safety. I will not post photos of other children at school events on social media without permission from the child’s parents.

  • I confirm I will abide by the statement above regarding personal images*
  • I give permission for my child to be photographed in school by the staff or local press photographers for school purposes (e.g. school website or local paper)*
  • I give permission for my child to be photographed and filmed in school for the purposes of images appearing on video recordings (i.e. Christmas performance) and photos displayed in school including the annual class photo.*
  • I give permission for my child’s name to be attached to images in the local press*
  • I give permission for Icknield Walk First School to contact me via School Gateway using the contact email addresses and mobile numbers supplied in this form.*
  • I give permission for my child to participate in local visits in Royston*
  • Does your child have access to a computer or tablet at home for home learning?*

  • Declarations

  • Icknield Walk First School collects data and information about the parents and carers of our pupils so that we can operate effectively as a school. The school's 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. 

     

  • I agree to the declarations above

  • Should be Empty: