School Admission Form

Chilmington Green Primary SchoolJemmett RoadAshfordTN234QL

Tel: 01233 228241Email: chilmingtongreen@stouracademytrust.org.ukWebsite: www.chilmingtongreen.kent.sch.uk

School use onlyAdmission Date:Class:Admission No:Birth Cert/Passport:UPN No:Year Group

Primary School

Chilm

ington Green

PLEASE PRESENT YOUR CHILD’S BIRTH CERTIFICATE / PASSPORT WITH THIS FORMChild legal Surname: Child legal Forenames:

Child preferred Surname: Child preferred Forenames:

Child date of Birth: Child sex M/F:Names of siblings already at the school:

Position of child in family: 1 2 3 4 5 (Please circle)

Is the child a young carer? YES NO (Please circle)

Child home Address:(Including postcode)

EMERGENCY CONTACT DETAILS – MUST INCLUDE PARENT/CARERParental Responsibility may be shared between a number of people beyond the child’s natural parents. Married parents have equal responsibility; on separation or divorce both parents continue to have responsibility. Unmarried fathers if named on the birth certificate after 1st December 2003 have parental responsibility, if not they may acquire parental responsibility in one of five ways:a) By making a parental responsibility agreement with the mother;b) He may apply to Court for an order which gives him parental responsibility;c) By marrying the mother; d) By being a guardian; e) By obtaining a residence orderStep parents may acquire parental responsibility – all others with parental responsibility must agree - by a) entering into a parental responsibility agreement b) By applying for a court orderIf the child’s residence at the above address is not permanent please state the reason and give the address of the person with whom the child normally lives.

How did you hear about us? Word of mouth

Facebook School website

Other

Did you attend our Rising 4’s sessions? (Please tick one box)Yes No

Did you attend our school open evening? (Please tick one box)Yes No

If your child attended a local nursery/playgroup, where did they attend?

1st ContactFull name: Mr/Mrs/Miss/MsRelationship to Student:

Home Address including postcode:

Mobile Email:Home telephone: Work telephoneDo you have parental responsibility? YES/NODo you require copies of student report/correspondence?

YES/NO

Is there a current court order in place? YES/NOIs there a parental responsibility agreement in place?

YES/NO

2nd ContactFull name: Mr/Mrs/Miss/MsRelationship to Student:

Home Address including postcode:

Mobile Email:Home telephone: Work telephoneDo you have parental responsibility? YES/NODo you require copies of student report/correspondence?

YES/NO

Is there a current court order in place? YES/NOIs there a parental responsibility agreement in place?

YES/NO

3rd ContactFull name: Mr/Mrs/Miss/MsRelationship to Student:

Home Address including postcode:

Mobile Email:Home telephone: Work telephoneDo you have parental responsibility? YES/NODo you require copies of student report/correspondence?

YES/NO

Is there a current court order in place? YES/NOIs there a parental responsibility agreement in place?

YES/NO

Medical InformationSurgery address:

Medical information useful to the school:

Allergies:

Does your child wear glasses?

YES/NO Does your child wear a hearing aid?

YES/NO

Ethnicity (Please tick)White British Eastern

EuropeanPlease specify

Western EuropeanPlease specify

White Asian TravellerPlease specify

White and Black African

White and Black Caribbean

White Pakistani White Indian Black African

Black Caribbean Black otherPlease specify

Country of Birth Nationality

Religion

List any days off which are required for religious observance:

4th ContactFull name: Mr/Mrs/Miss/MsRelationship to Student:

Home Address including postcode:

Mobile Email:Home telephone: Work telephoneDo you have parental responsibility? YES/NODo you require copies of student report/correspondence?

YES/NO

Is there a current court order in place? YES/NOIs there a parental responsibility agreement in place?

YES/NO

All languages spoken or heard at home

Main language spoken at home

Service Children in Education? (Army, Navy, Airforce)Yes No

Looked after childLooked after child? Yes/No(In the care of the Local Authority)

If yes: Placing authority

If yes: Does your child have a PEP? Name of Social Worker:

EHCPHas an EHCP been issued in respect of your child?

Yes/No

If yes, please give further details:

-Special Educational Needs-

Was the student on the SEN register at the previous School?EHCP (Educational Health Care Plan

SEN Support

If so, please identify SEN need:SEMH (Social and Emotional Health), ASD, ADHD

Physical and Sensory

Cognition and Learning (eg Dyslexia)

Communication and Interaction,Speech and language

Date of last review?

Dinner arrangements (Please tick one box)School Meal

Packed Lunch

Free School Meal

Travel arrangements (Please tick one box)Bicycle Car share

with child/children

Car/Van

Public Transport

School Bus Taxi

Train Walk

Last school attendedName and full address of School:

Reason for leaving:

Date Admitted: Date of Leaving:

Home/School Agreement Part 1By signing the Admission Form, you and the school are agreeing to abide by the following:

Welfare and CommunicationThe School will:• control and monitor risks to the safety of children on school premises and on school trips.

• administer medicines only with written permission.

• Give full and clear information about the curriculum and your child’s progress, stand-ard achieved and development needs.

• provide a range of means in which it communicates with parents, e.g., text, email, open door policy, etc.

• frequently inform parents about school matters and set dates for events early.

• actively welcome parents/carers into the life of the school.

I intend:• to teach my child about personal hygiene.• to make sure the school always has up-to-date emergency contact numbers.

• to keep my child at home when unwell.• to let the school know of issues that may affect my child’s welfare or progress at school.

What if I have a concern?

Always see the class teacher first. This can be followed by the Assistant/Deputy Head and then, if necessary, the Headteacher.If your concern is unresolved after this process and you wish to make a formal complaint, please see the Complaints Pro-cedure Policy on our website.

Discipline and BehaviourThe School will:• make sure children are familiar with the school rules and anti-bullying policy.

• use rewards and sanctions fairly.• make sure that school staff always set a high standard of personal behaviour

I intend:• to help my child understand and follow the school rules and anti-bullying policy.

• to encourage my child to care for school property.

• to behave in a way that sets children a good example, especially when on school premises.

Social MediaThe School will:• Promote Online Safety and actively encourage children to stay safe.

• Take necessary action where appropriate.

I intend:• to encourage my child to use the internet safely at home.

• to not use social media sites to post neg-ative or detrimental comments relating to the school or any of its employees.

HomeworkThe School will:• set appropriate homework regularly and ensure that it reflects your child’s learning needs.

I intend:• to help my child return homework on time.

• to read to and with my child frequently.

CurriculumThe School will:• ensure that every child is taught at an appropriate & challenging level, with targets set regularly.

• maintain an attractive environment with good materials and equipment and teach the full National Curriculum.

• provide a range of extra-curricular activities designed to enrich your child’s experience.

I intend:• to encourage my child to participate fully in school activities.

• to support my child’s learning at school by attending parents’ meetings and performances.

• to provide my child with suitable clothing for school activities.

Attendance and PunctualityThe School will:• start classes promptly at 8.45 a.m and finish at 3.15 p.m.

• maintain an accurate record of attendance.

I intend:• to make sure that my child is at school regularly and on time.

• to make sure that my child is collected on time.

• to contact the school promptly when my child is absent.

• not to take my child on holiday during term time.

Home/School Agreement Part 2

PHOTO CONSENT FORMDear Parent/carer, This letter explains why we will need to ask for your consent before we are able to take photographs of your child during their time at a school that is part of The Stour Academy Trust. Generally photographs are a source of pleasure and pride. We believe that the taking and use of photographs can enhance the self-esteem of children and their families and therefore is something to be welcomed and appreciated.

We may take photographs for a number of reasons whilst your child is with us, including:• documenting and recording education activities • recording their learning and development progress • recording special events and achievements• using their image to promote the school

We will also encourage children to be active learners, and to become involved in using cameras themselves by taking photos of their surroundings, activities and of each other. We do however recognise that with the increased use of such technologies, particularly digitally and online, the potential for misuse has become greater and we understand that this can give rise to concern. We will therefore endeavour to put effective safeguards in place to protect children and young people by minimising risk.

We are mindful of the fact that some families may have reasons why protecting a child’s identity is a matter of particular anxiety. If you have special circumstances either now or at any time in the future which would affect your position regarding consent, please let us know immediately in writing.

We include the safe use of Cameras and Images as part of our Online Safety Policy, which you are welcome to view or take a copy of at any time. To comply with the EU General Data Protection Regulation 2018 we need your permission before we can photograph or make any recordings of your child.

If your child is old enough to express their own view, you may want to consult with them about categories of consent, and we invite you to use this letter to explore their feelings about being photographed in school.

Please read and complete this Photo Consent Form and do not hesitate to contact the school should you have any queries.

Yours sincerely,

Rob ButterworthDirector of Marketing and Communications The Stour Academy Trust

PHOTO CONSENT FORM• This form is valid for the period of time your child attends the setting. The consent will automatically expire after this time. We will not re-use any photographs or recordings a year after your child leaves this school. Historic photographs will remain on our school website and social media feeds.

• We will not use the personal details or full names (which means first name and surname) of any child or adult in a photographic image, on video/DVD, on our websites, on our social media platforms or in any of our other printed publications.

• We will not include personal addresses, emails, telephone numbers, fax numbers on video, on our website, in our prospectus or in other printed publications.

• If we use photographs of individual children then we will not use the name of that child in the accompanying text or photo caption. If we name a child in any text then we will not use a photograph of that child to accompany the article.

• We may use pictures of children and staff that have been drawn by the children. • We may use group photographs or footage with general labels, such as ‘making Christmas decorations’.

• We will only use images of children who are suitably dressed.• We will discuss the use of images with children in an age appropriate way to role model positive behaviour.

• This consent can be withdrawn by a parent/carer at any time by informing the setting in writing.

Please circle the appropriate consent

I consent I do not consent

For my child’s image (photographic, audio and video) to be used by the School/Trust for promotional and in-school purposes. This includes but is not limited to: school displays, school books, the school website, The Stour Academy Trust web-site, any social media sites used by the School/Trust e.g. Face-book|Twitter|Youtube, any communication software used by the School/Trust e.g. Weduc, any printed or digital promotional material, local/national media - both in print and online.

I consent I do not consentFor my child’s photograph to be taken by an external school photography company for yearly individual and class photos.

I have read and understood the conditions of use and I am also aware of the following: • Websites and social media platforms can be viewed throughout the world and not just in the United Kingdom where UK law applies.

• When children are present at events (that may involve large numbers of children) held away from the school premises, we cannot be responsible for pictures taken by staff/parents of other schools.

• To keep all members of the community safe, we request that any photographs or video recordings taken at school events that include other children are not distributed or put online. We cannot be responsible for pictures put online by parents who have not followed our request.

• I/we will discuss the use of images with our child to obtain their views, if appropriate.

Name of Child: Date:

Parent/Carer Name:

Parent/carer’s signature:

CONSENT FORMBy completing and signing this admission form to the school, you are confirming that you have read, understood and accepted the pages and policies that can be found on the School Admission Form page on our website:

www.chilmingtongreen.kent.sch.uk/admissions-kent-test

If you do not have access to the internet, please contact the Office Manager of the school who will be able to provide paper copies of the pages and policies.

The pages and polices include but are not limited to:Privacy Notice|Attendance Policy|After School Club|Breakfast Club|Charging and Remissions Policy|Complaints Procedure Policy|Extra-Curricular Clubs|How we communi-cate|Mobile Phone Policy for Pupils|Online and Social Networking Policy Parent Consultation Evenings|School Meals|School Uniform|Timings of the School Day|Taking Photos at School events|

Please circle the appropriate consent

I consent I do not consentTo my child taking part in properly arranged and adequately supervised educational visits, out of hours clubs and school teams.

I consent I do not consent

For my child to receive medication as instructed and any emergency dental, medical or surgical treatment including anaesthetic or blood transfusion as considered necessary by the medical authorities present.

I consent I do not consentTo youth support services and health services having access to my name, address, phone number and my child’s date of birth, ethnicity and GP or GP practice.

I consent I do not consent To my child receiving appropriate sex education in school.

I consent I do not consent To receiving information via text/email/app notification (electronic communication)

Please tick each box when completed and sign below.

� I have completed the admission form. � I have read and accepted the pages and policies found on the school website. � I have completed the photo consent form. � I have read and accepted the Home/School Agreement.

Parent/Carer signature: Date:

Parent/Carer Name: (Please print)

We use a digital communication app called weduc as the primary way of communicating with our

parents. It allows parents to receive messages from the school and have access to our school social

newsfeed, calendar, and notice board.

Please make sure you include your email address and mobile number on this form so that the school

office can send you your unique enrolment code and information on how to download the app.

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