Admissions Form

Thank you for choosing Brentnall Community Primary School for your child.

Before your child can start at our school, we need you to complete an Admission Form; a paper copy will be given to you from the School Office and is available below Admission Form

The form has been copied below, you can translate this into your home language, to do so, please use the select language option located at the very bottom of our website.

 

Admission Form

We need this information before your child can start at Brentnall

It is imperative for safeguarding reasons that we hold this information

Pupil Details

Legal Forename:

Middle Name(s): Legal Surname:

Preferred Surname:

Gender: Male or Female:

Date of Birth:

Home address with postcode:

Collection Password*:

*Collection Consent

It is important that we make sure that children are released safely at the end of each day. We ask that you set up a password on your child’s records which can be used in the event of you not being able to collect your child.

A staff member will only release your child if the correct password is given by your chosen adult & will not release a child to a sibling that is under the age of 16 years old.

 

Parental Details

We must have at least 2 people we can contact in an emergency Parent/Guardian 1: (with parental responsibility for the child’s educational progress)

Parent/Guardian 1: (with parental responsibility for the child’s educational progress)

Title:

Forename:

Surname:

Relationship:

Home Telephone:

Mobile Telephone:

Work Telephone:

Place of Work:

Email Address:

Home Address:

NI Number:

NASS Number:page1image50980608 page1image50974656 page1image50973120 page1image50981376

Parent/Guardian 2: (with parental responsibility for the child’s educational progress)

Title:

Forename:

Surname:

Relationship:

Home Telephone:

Mobile Telephone:

Work Telephone:

Place of Work:

Email Address:

Home Address:

NI Number:

NASS Number:

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Emergency Contact Details (other than parents – We must have at least 2 people in total we can contact in an emergency)page2image50845504

Contact 1

Name:

Home Telephone: page2image50846272 page2image50846464

Mobile Telephone:

Relationship to Child: page2image50846848 page2image50847040 page2image50847232 page2image50847424

Contact 2

Name:

Home Telephone: page2image50846272 page2image50846464

Mobile Telephone:

Relationship to Child:

 

Family Links

Please advise of any siblings or extended family that currently attend Brentnall Primary School

 

Dietary & Meal Arrangements

Please advise any dietary needs, food allergies or intolerances

eg –  vegetarian nut allergy, halal etc

You may be able to claim Free School Meals, you can do this by checking the criteria on the government website https://www.gov.uk/apply-free-school-meals or by calling Salford City Council on 0161 793 2500.

Expected Option (please circle)
Free School Meal

Paid School Dinner

Packed Lunch

 

Medical Information

Doctor’s Surgery Address:

Telephone Number:

 

Does your child have a medical condition?

If yes, please provide details

Does your child have any allergies?

If yes, please provide details

Does your child take regular medication?

If yes, please provide details

Does your child have a disability?

If yes, please provide details

 

Additional Pupil Information

Ethnicity:

Religion:

First Language:

National Identity:

English as an Additional Language:

Country of Birth:

 

Transport

Which mode of transport do you take to travel to school?

Walk

Public Transport

Car

Taxi

Cycle

School Transport

 

Safeguarding

Is your child or family known to social care?

Name and contact details of social worker:page3image50802880 page3image50803072 page3image50803264page3image50803456 page3image50803648page3image50803840 page3image50804032 page3image50804224 page3image50804416 page3image50804608 page3image50804800page3image50804992

Special Educational Needspage4image50832960 page4image50833152

Does your child have an Educational Health Care Plan?

Does your child have any Special Educational Needs?
If yes, please circle any that apply from the option(s) below

Mobility

Co-ordination

Continence

Speech

Hearing

Eyesight/Glasses

Memory

Ability to Lift

Perception

Other

Please use this section to tell us about any other information that may affect your child’s welfare whilst in school:

 

Education History (not applicable for Nursey & Reception admission)

Name of previous school:

Date of leaving:

Reason for leaving:

If no previous school, date of arrival in the UK:

 

PARENTAL CONSENT

You have the right to change or withdraw your consent preferences at any time by contacting the School Office.

Educational Activities, Trips & Visits – please answer yes or no

I give consent for my child to:

Take part in/attend any out of school activities, day trips or visits to places of interest: e.g. local parks , library , museums

Take part in food tasting activities in school

Communication  – please answer yes or no

I give consent for:

School contacting me by text, phone & email with Information, reminders, updates & newsletters.

Images (Still & Moving)

Photos & videos of pupils are occasionally displayed in school’s newsletter, on the school website, school’s social media and display boards around school. All images are kept securely and are used for educational purposes only. Images are used to demonstrate work which children have produced; promote sporting events; show group activities and to motivate, celebrate and reward pupils’ achievements. Images will be identified by first names only.

I give consent for: – please answer yes or no

School using my child’s image as detailed above ( all except social media )

School using my child’s image for social media

Specific consent will be obtained for images used for external purposes.

Internet Access –  please answer yes or no

My child to use email and the internet. I understand that he/she will be held responsible if they do not observe the Acceptable Use Policy that is in place at school.

Medical Consent – please answer yes or no

I provide consent for:

School to use plasters on cuts and grazes

My child to receive emergency first aid, medical or surgical treatment as considered necessary by the medical authorities present (including anaesthetic and blood transfusion). We will always contact you in such an event

 

Early Years

This section is only required to be filled for children in Early Years (Nursery & Reception class only)

I provide consent for: – please answer yes or no

Staff to assist my child with brushing their teeth

Staff to change my child’s clothes in the event of an accident/water play

Staff to observe and record my child’s development on Target Tracker

Staff to apply the sun cream (that I provide) to my child’s face, arms and legs when necessary.

 

Keeping us Informed

I confirm that the information provided within this form is correct and I agree to inform school should any information require updating. I understand that I must update school should there be any change to the allergy, dietary, medical or contact information provided.

Parent/Carer Name:

Parent/Carer Signature:

Date:

 

Thank you for completing this school data form. If you need any further information please contact the School Office on 0161 792 4317. Or by emailing school at brentnall.primaryschool@salford.gov.uk

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