SJS Parental Consent

Solent Junior School Parental Consent

The information in this form will be used throughout your child's time at Solent Junior School. You may withdraw or modify your consent at any time by resubmitting this form with your updated answers.
Child's Name*

First NameLast Name
Child's Date of Birth*

DayMonthYear
Your Name*

First NameLast Name
Relationship to Child*
Address*

Street Address

Street Address Line 2

CityCounty

Post Code
Home Phone Number
Mobile Phone Number*
Work Phone Number
Email*
example@example.com
On-Site Activities
I give permission for my child to use the internet in line with the school's policy*

YesNo
I agree that my child can use the school’s ICT systems and internet when appropriately supervised by a member of school staff. I agree to the conditions set out below for pupils using the school’s ICT systems and internet, and will make sure my child understands these.*

YesNo
Please Click Here to read our E-Safety & acceptable use policy for parents, carers & pupils.
I give permission for my child to borrow from the school library and I accept a nominal charge (at present £5.00) will be charged for the loss or negligent damage of articles (book, CD, soft toy etc) borrowed from the library.*

YesNo
I give permission for my child to have face paints/makeup/hair products used during school curriculum activities and school productions. (Please indicate any allergies in the box below)*

YesNo
I give permission for my child to take part in food preparation/cooking and tasting activities. (Please indicate any allergies in the box below)*

YesNo
Please outline any specific dietary requirements and allergies (food or non-food related) or say NONE if not applicable*
Off-Site Activities
I give permission for my child to take part in supervised visits/sports events to local destinations (within 10 miles) away from the main school site.*

YesNo
Communication
I give my permission for the school to contact me via (please select all relevant options)*

PhoneEmailText Message
Images
These permissions are valid for the period of time your child attends this setting within The Solent Schools/De Curci Academy Trust. The consent will automatically expire after this time. We will not re-use any photographs or recordings after your child leaves this setting without additional consent. We will not use the full names (first name and surname) of any child in a photographic image or video on our websites, in social media, on DVDs or in any other of our electronic or printed publications. First names may be used. We may use group photographs or footage with general labels. We will only use images of children who are suitably dressed. This consent can be withdrawn by you at any time by informing us in writing.

For more information, please Click Here.
May we use your child’s image in displays around the school?*

YesNo
May we record your child’s image or use videos for assessments, monitoring or other educational uses within the school? These images or recordings will be used internally only.*

YesNo
May we use your child’s image in our school/trust publications that we produce for educational and promotional purposes?*

YesNo
May we use your child’s image on our school/trust websites? (1)*

YesNo
May we use your child’s image on our school/trust official social media channels? (e.g.Facebook etc) (1).*

YesNo
May we record your child’s image on video for inclusion in a DVD or download?(e.g. School Nativity/Production).*

YesNo
Are you happy for your child to appear in whole class or whole school photographs.*

YesNo
Are you happy for your child to appear in the media e.g. if a newspaper photographer or television film crew attend an event organised by the school/trust? (2)*

YesNo
May we use your child's image on gifts that may be given to all children on leaving?*

YesNo
1 Websites and social media sites can be viewed worldwide; not just in the United Kingdom where UK law applies.

2 The press are exempt from GDPR and Data Protection Act and may want to include the names and personal details of children and adults in the media.

As the child’s parents/carers, you agree that if you take photographs or video recordings of your child/ren which include other pupils, you will use these for personal and family use only and you will not post on any personal social media accounts. You understand that where consent has not been obtained from the other parents for any other use, you would be in breach of the Data Protection Act 1998 if you used the recordings for any wider purpose.
Signature
Name*

First NameLast Name
Should be Empty:

Solent Junior School Parental Consent

On-Site Activities

Off-Site Activities

Communication

Images