New Starter Form (On-Line)

Child's surname* Child's first name* Other names Name by which child is known

Gender*MaleFemalePrefer to use own term

Date of Birth (please use drop down box)* Address* Post Code*

Brothers and sisters who currently attend Bonneygrove School
	Name	Class
Child 1
Child 2
Child 3

Previous playgroup/nursery schools attended
	Name / address	Dates attended from / to
1
2
3

FAMILY AND EMERGENCY CONTACT DETAILS

We MUST have at least two contacts in case of an emergency.

Please let us know of any change in contact details as soon as possible. It is essential that the school can make contact with you quickly, if needed.

Please note in the case of parent separation, unless there is a Court Order, both parents should be detailed in order of priority.

Parent/Carer 1

First name* Surname* Address* Relationship to child* Home telephone number Mobile number* Work number and extension (if applicable) Email address*

Are you a member of the Armed Forces*YesNo

Parent/Carer 2

Select one of the following*MrMrsMissMs

First name* Surname* Address Relationship to child* Home telephone number Mobile telephone number* Work number and extension (If applicable) Email address

Are you a member of the Armed Forces*YesNo

Parent/Carer 3

Select one of the followingMrMrsMissMs

First name Surname Relationship to child Mobile telephone number

Parent/Carer 4

Select one of the followingMrMrsMissMs

First name Surname Relationship to child Mobile number

NAMES OF ADULTS WHO ARE PERMITTED TO COLLECT YOUR CHILD

In order to minimise security risks at the end of the school day, it is essential that the school know who is authorised to collect your child from school. It is expected that all children in KS1 or younger will be collected from the classroom and not from the gate.

It is strongly recommended, in most circumstances, that older brothers and sisters in the school do not collect younger siblings.

Please list all persons permitted to collect your child :*
	Name of adult	Relationship to child

Please tick*I understand that the school has a legal duty to report any safeguarding concerns to the relevant authorities without parental consent where there is a risk of harm.I further understand that, if my child is late being collected from school, then the school has a duty to inform the relevant authority, when this becomes persistent.

MODE OF TRANSPORT

OUTSIDE AGENCIES

Does your child have a Statement of Special Education Needs*YesNo

Has your family or child had contact with any of the following:-

Child Family Guidance Education Psychologist*YesNo

Educational Welfare Officer*YesNo

Speech Therapist*YesNo

Child Development Centre*YesNo

Social Worker*YesNo

Other agencies/information the school need to be aware of (please specify)

MEDICAL INFORMATION

Are your child’s immunisations all up to date?

MMR*YesNo

Pre School Booster*YesNo

Does your child suffer from any of the following conditions?

Has your child had any serious illnesses/accidents that required hospitalisation : Other illnesses the school should be aware of (please specify)

Is your child taking regular prescribed medication at home (outside school hours)?

Please tick one :*YesNo

If so, please provide further information : Please provide any further concerns you would like to mention/on-going investigation for a medical condition :

ALLERGIES

If treatment is needed please provide further Information

ASTHMA QUESTIONNAIRE

Family Doctor Details*

Name of Practice / Surgery
Address
Telephone number

Can the GP be contacted for information when/if required?*YesNo

We comply with the requirements of the Hertfordshire Schools Asthma Policy and request that you complete an Asthma Maintenance Plan when your child joins the school, which will be updated each academic year.

Please visit https://www.bonneygrove.herts.sch.uk/form/?pid=13&form=260 and complete the on-line Asthma Questionnaire and ensure all medication is handed into the school office.

The information will be used by staff in school to provide appropriate care and support during school hours.

Inhalers must be clearly labelled with your child’ name and date of birth, and remind you that it is the parents/carers responsibility to ensure that inhalers are in date and replaced as needed. If your child has an inhaler in school we MUST also have a spacer for this in school.

Children are not permitted to have/carry any medication in their bag during the school day.

What triggers your child's asthma (if known )

Is your child’s asthma (please tick as appropriate)Mild – uses reliever blue inhaler occasionallyModerate – uses preventer and occasionally blue inhalerSevere – uses preventer, regular reliever and other medication

How many times (if any) has our child attended Accident & Emergency with an acute asthma attack in the past year?Not attendedOnce or moreState how many times below

Does your child have disrupted sleep due to his/her asthma (please tick as appropriate)RarelyOccasionallyFrequently

How often is your child seen by the hospital / GP/ Practice Nurse (please tick as appropriate)Only when he/she has an asthma attackOn a 3-6 monthly (or more frequent basis)Annual check by GP

What inhalers / medication has your child been prescribed?

Reliever (Name)
Preventer (Name)
Other (Name)

Children are not permitted to have/carry any medication in their bag during the school day.

MEAL ARRANGEMENTS (not applicable for Nursery)

Select one of the following, my child will be having*Universal Free School Meals - Reception - Year Two onlySchool MealsBenefit Related Free School Meals - Reception - Year SixHome Packed LunchMy child will be joining the Nursery and this section is not applicable

Does your child have a special medical dietary requirement (as confirmed by a GP) :*YesNo

Please provide additional information regarding your child's special medical dietary requirements as confirmed by a GP.

If your child has a special medical dietary requirement (as confirmed by a GP) parents/carers MUST apply on the Herts Catering Limited (HCL) website (https://specialmenu.hcl.co.uk/application/registration), before they will be able to have a meal in the school canteen. Please speak to the school office if you require any further guidance.

LANGUAGE DATA

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.

Other Language .....(only use if your language is not listed above)

ETHNIC BACKGROUND

Our ethnic background describes how we think of ourselves. This may be based on many things including, for example, our skin colour, language, culture, ancestry or family history. Ethnic background is not the same as nationality or country of birth.

The DfES recommends that those with parental responsibility decide the ethnic background for primary pupils. The Information Commissioner (formerly the Data Protection Registrar) recommends that young people aged over 11 years old have the opportunity to decide their own ethnic identity. Parents, or those with parental responsibility, are asked to support or advise those children aged over 11 in making this decision, wherever necessary.

Please study the list below and TICK ONE BOX ONLY to indicate the ethnic background of your child.

RELIGIOUS BACKGROUND

Any information you provide will be used solely to compile statistics on the school careers and experiences of pupils from different ethnic backgrounds, to help ensure that all pupils have the opportunity to fulfil their potential. These statistics will not allow individual pupils to be identified. From time to time the information will be passed on to the Local Authority and the Department for Education and Skills (DfES) to contribute to local and national statistics. This information will also be passed on to future schools.

PUPIL PREMIUM ENTITLEMENT

Children in Reception, Year 1 and Year 2 are entitled to Universal Free School Meals. Children in Years 3 - 6 may be entitled to free school meals and the school could receive funding from Hertfordshire County Council/the Education Funding Agency, Bonneygrove Primary School is able to claim a £1,320 grant from the Government each year called the Pupil
Premium, for children whose parents/carers receive any of the benefits listed overleaf.

We are asking all parents/carers to complete this section in order that we can register their details, on their behalf, and access the grant.

Child' National Health Number*

Parent/Carer Details
	Parent/Carer 1	Parent/Carer 2
Full Name
Date of Birth
National Insurance No.
or National Asylum Support Service (NASS) Number
Address (only required if different from child)

I am (or my partner) is in receipt of the following benefits:*Income SupportIncome Based Jobseekers AllowanceIncome related Employment and Support AllowanceUniversal CreditSupport from NASS (National Asylum Support Service) under part 6 of the Immigration and Asylum Act 1999the guarantee element of State Pension CreditChild Tax Credit (with no working Tax Credit)with an annual income of no more that £16,190Working Tax Credit run-onI (or my partner) do not receive any of the above benefits

Any personal data collected will be treated as confidential under the principles of The General Data Protection Regulations.

Hertfordshire County Council will use the information submitted to assess your eligibility for education benefits. They will not use the data for any other purpose, nor will they share your data with any third parties other than the Department for Education if you are applying for Free School Meals.

DECLARATION
The information I have given above is complete and accurate. I understand that my personal information is held securely and will be used only for local authority purposes.
I agree to the local authority using this information to enable my child’s school to claim the Pupil Premium for my child.

I give permission for Bonneygrove Primary School to check my eligibility* Name of parent/carer giving consent* Date*

ARBOR - Student Information System

The Parent Portal and Arbor App let parents and carers register their child/ren for a club or trip, pay for school lunches (Years Three - Six) and manage payments all from their phone or computer. When logging in for the first time Bonneygrove will send you a welcome email to set your password. You will not be able to do this through the app, as the links in the reset password emails only work with a browser. The welcome email from Bonneygrove will contain your login details and a link that will take you to the browser version of the Parent Portal where you will need to set up a password. You will then receive another email. Click the link in this email to set your password. If you are having difficulty using Arbor, please contact the school office.

SAFE USE OF IMAGES

Increasingly, schools are using photographic and video images of children to enhance learning and life within the school. This is important in taking a creative approach to teaching and learning and in making lessons and activities as enjoyable as possible for children.

Members of staff may use photographs/videos in presentations, in subsequent lessons or to celebrate successes through their publication in newsletters, school events, curriculum work, display purposes, productions, trips, local newspapers and sporting events. Photographs/ videos may also be used on the school website, in the school prospectus and on social media, including Instagram and Twitter.

The Bonneygrove E-Safety Policy is available to view on the school website.

We would like to request blanket consent for the use of your child’s image. This form is valid for the period of time that your child attends Bonneygrove.

I give consent for my child's image to be published as detailed above* If no, please provide specific information regarding particular areas that you DO NOT wish your child's images to be use in. Name of parent/carer giving consent* Date*

PUPIL ACCEPTABLE USE AGREEMENT / ESAFETY RULES

ICT including the internet, email, laptops, digital cameras etc. has come an important part of learning in our school. We expect all children to be safe and responsible when using any ICT.

Please discuss the Esafety rules below with your child. If you have any concerns or would like some explanation please contact the school.I will only use ICT in school for school purposes.I will only use my class email address or my own school email address.I will make sure that all ICT contacts with other children and adults are responsible.I will not deliberately look for, save or send anything that could be unpleasant or nasty. If I accidently find anything like this I will turn off my monitor and tell my teacher immediately.I will not send to children or adults anything that could be considered unpleasant or nasty.I will not give out my details such as my name, phone number or home address. I will not arrange to meet someone unless this is part of a school project approved by my teacher and a responsible adult comes with me.I will be responsible for my behaviour when using ICT because I know that these rules are to keep me safe.I know that my use of CIT can be checked and that my parent/carer contacted if a member of staff is concerned about my Esafety.

We have discussed the above issues with our child who agrees to follow the Esafety rules and to support the safe use of ICT at Bonneygrove Primary School.* Name of parent/carer giving consent* Date*

PARENTAL CONSENT - LOCAL TRIPS

I consent to my child being taken off site within a one mile radius of the school to, for example, a local post box or park etc.

I understand that my child may leave the school premises for local, curriculum-related, regular or routine visits, as may be detailed in the school’s prospectus, or for sports fixtures when representing the establishment as part of a team, and hereby give my consent for my child to participate in such events.

I also understand that my child may leave the school premises at other times when I will be informed separately by letter and when further consent may be required from me.

Whilst on the trip my child can receive medical treatment as necessary. I will inform the school as soon as possible of any change in medical circumstances.

I acknowledge the need for the person named above to behave responsibly and agree to the establishment’s procedures in this respect.

I am satisfied that all reasonable care will be taken for the safety and well-being of all participants and that appropriate staffing and safety measures will be in place at all times.

Permission for photographs and/or videos to be taken of my child for use in educational or youth work promotional materials and displays when required, with or without using their name is given.* Name of parent/carer giving consent* Date*

TAPESTRY - SHARING YOUR CHILD'S SCHOOL DAY (only complete this section if you child is joining Nursery or Reception)

Bonneygrove Primary School uses Tapestry as their online journal provider. We will use this to send you observations of your child which might include photos and videos. If you give your permission below, you will be able to see group observations which might include photos and videos with other children in and consequently, other relatives might be able to view photos and videos of your child.
Please note that you have the option to view any photographs that we have or intend to use.

I consent to photographs and videos of my child being taken by authorised personnel representing Bonneygrove Primary School. I consent to photographs and videos of my child being uploaded to Tapestry Online Learning Journal. I consent to photographs containing my child's image being included in other children's Learning Journals. I agree to treat photographs containing images of other children as well as my own and for my own personal use only. This means that the information cannot be shared with others, or published in any way, without the explicit consent of the parents/carers of those children who may be included. For example, any such photographs cannot be posted on a social networking site or displayed in a public place. Name of Parent/Carer Date

CHECKLIST (only complete this section if you child is joining Nursery or Reception)

The aim of this list is to let new parents/carers know of the expectations of the
school and give you helpful information about school routines. We will be happy to discuss any issues
arising from this list with you.

DOES YOUR CHILD KNOW
	Yes	No
Who is picking them up at the end of the day?
When and whether the need for medication for conditions like asthma or serious food allergies should be given?
Where to find their name in their school clothes and plimsolls

Considerations for parents/carers once their child starts school
	Yes	No
Would you be able to provide your child with wellington boots that can be left in school.
Would you be prepared to provide spare underwear for your child?
Can your child identify all their clothes and belongings easily and independently?

The information provided in this document is subject to The General Data Protection Regulation. The information provided is for use by the school, the Local Authority, QCA etc. as identified in the school’s Privacy Notice 2018. It may also be disclosed to the Governing Body and the Parents Association. If you do not wish this information to be discussed to either the Governing Body or the Parents Association you should notify the school in writing. Should you wish to obtain a copy of the information held by the school relating to you or your child(ren) at any time, you may do so by writing to the school.

	Yes	No
Put on and do up their shoes?
Put on and do up their coat?
Go to the toilet unaided?
Dress him/herself, including tights or trousers?
Recognise their name in writing?