LS Admission form - Website Version 20.05.2020

Please complete this form by 30/12/2021

Form from: Windsor Girls' School

Co-Headteachers: Mr P D Griffiths and Mrs E T O’Carroll
Email: [email protected] Website: www.windsorgirls.net

Telephone: 01753 795155

ADMISSION FORM

STUDENT DETAILS

Legal Surname

Legal Forename

Preferred Surname

Preferred Forename

Middle Names

(If legal surname/forename shown are different on birth certificate, a legal document e.g. change of name deed poll certificate must be provided.)

Date of Birth

Date of Admission

Student's Address

Student's Postcode

Student's Contact Telephone Number

Any Sisters Attending Windsor Girls School? (please include extended family e.g. step-sisters, half-sisters)

Yes No

1st Sister's Name

1st Sister's Date of Birth

2nd Sister's Name

2nd Sister's Date of Birth

PARENT/CARER DETAILS

Please give details of all persons who have parental responsibility and anyone else you wish to be contacted in an emergency. Place them in the order that you wish for them to be contacted in an emergency.

We are required to hold details of at least two emergency contacts.

PARENT/CARER NO.1 (If you are receiving Social Care Support, or are a Foster Parent to this student please insert name of Social Worker)

Social Worker Name

Parent/Carer 1 Title

Parent/Carer 1 Surname

Parent/Carer 1 Forename

Parent/Carer 1 Address

Parent/Carer 1 Postcode

Please provide at least one contact number for emergency purposes.

Parent/Carer 1 Home Telephone Number

Parent/Carer 1 Work Telephone Number

Parent/Carer 1 Mobile Telephone Number

Parent/Carer 1 Email address

_{We require an email address for our communications software}

Parent/Carer 1 Relationship to Student

Mother Father Other (please state below)

Do you have Parental Responsibility?

Yes No

Do you require copies of Student Reports and Correspondence?

Yes No

Can you be contacted in an emergency?

Yes No

First Language spoken

Translator Required?

Yes No

Are you armed service personnel?

Yes No

If yes, is the student living with you at the above address?

Yes No

Please provide name of regiment

How many years of service?

PARENT/CARER NO.2/ANY OTHER EMERGENCY CONTACT

Parent/Carer 2 Title

Parent/Carer 2 Surname

Parent/Carer 2 Forename

Parent/Carer 2 Address

Parent/Carer 2 Postcode

Please provide at least one contact number for emergency purposes.

Parent/Carer 2 Home Telephone Number

Parent/Carer 2 Work Telephone Number

Parent/Carer 2 Mobile Telephone Number

Parent/Carer 2 Email address

Parent/Carer 2 Relationship to Student

Mother Father Other (please state below)

Do you have Parental Responsibility?

Yes No

Do you require copies of Student Reports and Correspondence?

Yes No

Can you be contacted in an emergency?

Yes No

First Language spoken

Translator Required?

Yes No

Are you armed service personnel?

Yes No

If yes, is the student living with you at the above address?

Please provide name of regiment

How many years of service?

MEDICAL DETAILS

Emergency consent

In the unlikely event of a medical emergency, and parents/carers being unavailable, we require your permission to act and make decisions as appropriate.

Parent/Carer 1 Medical Consent

signature _{please use your mouse or finger to sign above}

Parent/Carer 2 Medical Consent

signature _{Please use your mouse or finger to sign above}

Please list any medical conditions

_{If medical conditions exist, please ensure you contact school to complete an Individual Health Care Plan (IHCP) for the student.}

Does the student wear glasses?

Yes No

Date of last tetanus (if known)

Please list any allergies

Please list any dietary requirements

Name of GP Surgery

Surgery Telephone Number

Surgery Address

Surgery Postcode

Please provide any further medical information we might need to know

I consent to the above information being used if needed for any reason to ensure the safety and well-being of the student named overleaf at any time (incl. off-site trips and events). I understand it is my obligation to inform the school of any changes to medical details, allergies or dietary needs.

Please sign below

signature _{please use your mouse or finger sign above}

Date Consent Given

ETHNIC/CULTURAL DETAILS

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 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 over 11 in making this decision, wherever necessary. Students aged 16 or over may make their own decision.

ETHNICITY (Please tick only 1 box for ethnicity)

This information was completed by

Parent Student

HOME AND FIRST LANGUAGE (please read the following instructions carefully)

Below you will be asked to fill in the student's home language and first language.

Home language is the language the student currently speaks at home.

First language is the language the student learnt as a child.

If the student speaks her first language and English at home, please only tick English as her home language. Her other language will be recorded as her first language.
If your daughter only speaks her first language at home, tick her first language as both home and first languages

Does the student have English as an additional language? i.e. English is NOT their first language

Yes No

Country of Birth (as appears on student Birth Certificate or Passport)

STUDENT'S RELIGION

Please tick appropriate box - 1 box only

MEAL INFORMATION

Are any benefits being claimed? If YES, the student may be entitled to Free School Meals if . Please contact the school office who will give you more information. To confirm eligibility you will need to log on and complete the FSM application form via: www.cloudforedu.org.uk/ofsm/mwschools

Is the student entitled to Free School Meals?

Yes No Don't know

Has the student been eligible for Free School Meals at any point during the last six years?

Yes No Don't know

If yes, please give an indication of when the eligibility ended.

Which meal will your daughter have most often? (please choose only 1 option)

Free School Meal Packed Lunch School Meal

TRANSPORT

What type of transport will the student usually use to travel to school?

Please note that if the student uses more than one type of transport, i.e. walks from home to station, takes train, walks from station to school, then the longest part of that journey must be recorded. We are aware that for some children there may be seasonal changes and or intermittent changes perhaps due to inclement weather conditions.

PREVIOUS SCHOOL

Please complete previous school details in full (including dates)

School Address

School Postcode

Person to Contact (& position)

School Telephone Number

Date of Admission

Date of Leaving

PARENTAL CONSENT

All information held within school is confidential in line with GDPR legislation.

Please tick appropriate box. Yes to give consent or No to refuse consent.

1. I give consent for school to hold a photograph of my daughter on the school database system. (Photographs held on database are used for school information/identification purposes only).

Yes No

2. I give consent for my daughter’s photograph to be used in material published for the school. (School prospectus, newsletters, on WGS official website, notice boards etc. Names are not used)

Yes No

I give consent for my daughter’s name to be given to an external school photographer.

Yes No

4. I give consent for the school to pass on any information to Youth Support Services (careers).

Yes No

5. I give consent for the school to pass my daughter’s photo to Local/National Press for publicity purposes

Yes No

6. I give consent for the school to pass my daughter’s name to Local/National Press for publicity purposes

Yes No

7. I give consent for my daughter to use the internet facility within school

Yes No

I give consent for my daughter to have an email address

Yes No

We use an email and App system called Groupcall/Xpressions to communicate with parents. Please consent to our using your email address and mobile telephone number for this servce.

Yes No

Please advice the school office at any time if you wish to withdraw your consent.

ADMISSION FORM

STUDENT DETAILS

Legal Surname

Legal Forename

Preferred Surname

Preferred Forename

Middle Names

Date of Birth

Date of Admission

Student's Address

Student's Postcode

Student's Contact Telephone Number

Any Sisters Attending Windsor Girls School? (please include extended family e.g. step-sisters, half-sisters)

1st Sister's Name

1st Sister's Date of Birth

2nd Sister's Name

2nd Sister's Date of Birth

PARENT/CARER DETAILS

We are required to hold details of at least two emergency contacts.

Social Worker Name

Parent/Carer 1 Title

Parent/Carer 1 Surname

Parent/Carer 1 Forename

Parent/Carer 1 Address

Parent/Carer 1 Postcode

Parent/Carer 1 Home Telephone Number

Parent/Carer 1 Work Telephone Number

Parent/Carer 1 Mobile Telephone Number

Parent/Carer 1 Email address

Parent/Carer 1 Relationship to Student

Do you have Parental Responsibility?

Do you require copies of Student Reports and Correspondence?

Can you be contacted in an emergency?

First Language spoken

Translator Required?

Are you armed service personnel?

If yes, is the student living with you at the above address?

Please provide name of regiment

How many years of service?

Parent/Carer 2 Title

Parent/Carer 2 Surname

Parent/Carer 2 Forename

Parent/Carer 2 Address

Parent/Carer 2 Postcode

Parent/Carer 2 Home Telephone Number

Parent/Carer 2 Work Telephone Number

Parent/Carer 2 Mobile Telephone Number

Parent/Carer 2 Email address

Parent/Carer 2 Relationship to Student

Do you have Parental Responsibility?

Do you require copies of Student Reports and Correspondence?

Can you be contacted in an emergency?

First Language spoken

Translator Required?

Are you armed service personnel?

If yes, is the student living with you at the above address?

Please provide name of regiment

How many years of service?

MEDICAL DETAILS

Emergency consent

Consent given

Parent/Carer 1 Medical Consent

Parent/Carer 2 Medical Consent

Please list any medical conditions

Does the student wear glasses?

Date of last tetanus (if known)

Please list any allergies

Please list any dietary requirements

Name of GP Surgery

Surgery Telephone Number

Surgery Address

Surgery Postcode

Please provide any further medical information we might need to know

Please sign below

Date Consent Given

ETHNIC/CULTURAL DETAILS

This information was completed by

HOME AND FIRST LANGUAGE (please read the following instructions carefully)

Tick one box for home language

Tick one box for first language