In Year Admissions Form

STUDENT INFORMATION
(PLEASE USE BLOCK CAPITALS)
Name*

First namesMiddle namesStudent’s surname
Date of birth:*

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

YESNO
If no indicate Borough:

Name of Parent / Carer Priority 1*
Title
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*
Title
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:
Title
Relationship
Address
Postcode
Mobile Telephone
Work Telephone Number
Home Email:
example@example.com
Is your child supported by a social worker*
Yes or No
Name of Social Worker
Telephone number of Social Worker
Is your child supported by Young Hackney or any other service*
Yes or No
Name and Telephone Number
Has either parent/carer attended university YES or NO :*

YESNO

PARENT DISABILITY:
Does the parent / carer have a disability / medical condition that we 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:

WalkOther
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 namesMiddle namesStudent’s surname
Date of birth:*

DayMonthYear
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? Please note if this should be taken when going on school trips in the details box below.*
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.
Can your child read and write in another language?*

CONSENT FORMS
Please provide consent for your child :

To take part in school trips and other activities that take place off school premises and 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;

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

Please confirm your consent to the activities listed above by ticking
the box below:
I give consent for my child to participate in Educational Visits as described above.*
You may withdraw your consent at any time by writing to the
Finance & Resources Director at the Academy.
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

DIGITAL IMAGE CONSENT
DIGITAL IMAGE CONSENT

As a school, we regularly use photographs to show how our students and the school as a whole develop. Images can also help us illustrate and communicate with parents about upcoming events and can help advertise and market the school to prospective parents and students.

We are also aware that parents and students really enjoy being able to see their images and would like to give all students this opportunity.

There are a number of instances when the school may take photos of your child, specifically: -
- We publish photos on the school’s website to promote the school to current and prospective parents as well as providing updates on current events;
- We publish photos on our social media accounts including Twitter and Instagram to provide updates on events and news within the school.
- The school ensure that its privacy settings are such to limit viewing of photos to followers of the school accounts (as approved by the school);
- From time to time we put videos on our YouTube, Vimeo or similar channels;
- Within our newsletters, we may provide photos of recent events or achievements from our students;
- In order to promote the school, we send out prospectuses, flyers, leaflets and brochures which contain images to show life at our school. These will be sent to prospective parents;
- We may also use other promotional materials such as banners and signs which may contain photographic images for prospective parents to view;
- We may be visited by the media who will take photographs or film footage of events. Students will sometimes appear in these images, which may then be published in local or national newspapers, in televised news programmes and on social media sites;
- We publish photos in and around the school building to illustrate to current students and parents life around the school including educational materials and images of recent trips and events. These can be seen from time to time by other parents or visitors within the school;
- In promotional materials to show the history and character of the school to future generations.
Usually students will not be named in the photographs but we may use their first name e.g. where they have won an award.

Consent to using your child’s images will last throughout your child’s time at the school and will continue to apply for a short time after they leave (except for images published for historical purposes which may be kept for an extended period of time to show the history of the school).
I give consent for my child’s image to be used as described above*
You may withdraw your consent at any time by writing to the
Finance & Resources Director at the Academy.

All personal data and sensitive personal data (also known as ‘special categories of personal data’) relating to you is processed in accordance with our privacy policy and in accordance with data protection laws.

Please see www.bridgeacademy.hackney.sch.uk/Policies for a full privacy notice relating to student data.

I confirm the information provided on this form is accurate to the best of my knowledge and I will update the Academy if information changes.
Name of person completing this form*
Relationship to child*
Signature*

Clear
Date*

DayMonthYear
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

ADDITIONAL INFORMATION

ETHNICITY QUESTIONNAIRE

CONSENT FORMS

DIGITAL IMAGE CONSENT