NEW PUPIL JOINING BALCOMBE SCHOOL
Please complete the important information requested below and submit this form in order that we have the necessary information we need about your child for our school records and to respond to West Sussex surveys and directives.
The school’s mode of contact with parents e.g. Newsletters, information letters, is by email and the school website – www.balcombeschool.co.uk; please ensure you provide an email address.

We require proof of address to be handed into the school office , this is usually a council tax bill.

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Name of Child *
Year Group of Child *
Please select the year group your child will enter when joining Balcombe School
Acceptance of Place offered *
Current or Previous School
Please give the NAME, ADDRESS and EMAIL address of your child's current (or previous if not currently attending school) school, or pre-school - whichever is applicable.
Home Telephone Number *
Nationality *
Address - including postcode *
Date of Birth *
Religion *
ETHNICITY *
 Our ethnic background describes how we think of ourselves.  This may be based on many things, including our skin’s colour, language, culture, ancestry or family history.  Ethnic background is not the same as nationality or country of birth.  (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 Education Authority and the Department for Education and Skills (DfES) to contribute to local and national statistics.  The information will also be passed on to future schools, to save it having to be asked for again.)  Please choose from the drop-down menu below.   Please select from List
Any siblings attending Balcombe School
Parent 1 Name *
Home Telephone Number *
Mobile Telephone Number *
Email Address (please print clearly) *
Is home address same as child? *
Parent 2 Name
Is home address same as child? *
Home Telephone Number (if different from above)
Mobile Telephone Number *
EMERGENCY CONTACTS
Initial contact will be mother/father unless you request otherwise. Please give details below of at least one additional person the school can contact in an emergency (placing them in the order in which contact should be made).  
ADDITIONAL EMERGENCY CONTACT 1 *
Home & Mobile Telephone Numbers of Contact1 *
Relationship to child of Contact1 *
ADDITIONAL EMERGENCY CONTACT 2
Home & Mobile Telephone Numbers of  Contact2
Relationship to child of Contact2
DIETARY INFORMATION *
Required
MEDICAL INFORMATION
Name of Surgery *
Telephone Number of Surgery *
Medical Conditions / Disabilities
Please list any medical conditions/disabilities and severity , please provide the office with any supporting documents i.e Allergy action plans , Doctors recommendations etc
Does your child have any medical conditions which require medication to be kept and administered at school?
If yes please give full details on the school Pupil Health Form (available on website under Admissions)
Clear selection
Administration of First Aid in School - complete below
We are only permitted by West Sussex County Council to administer Paracetamol and Antihistamine or medication which has  been prescribed for the child by a doctor.  Parents are of course contacted about anything other than minor grazes/problems.  It is not school policy to administer medicine such as prescribed antibiotics, cough medicine, etc as on a three times daily dose it is possible to plan administration before and after school and bedtime.
Permission to administer medication at school
Additional Information
All KS1 children are eligible for a free school meal. Please indicate which days your child will require a hot meal. If your child does not want school meals, parents/carers should supply a packed lunch.
FREE SCHOOL MEALS
Eligibility for Free School Meals can be found on the WSCC website - http://www.westsussex.gov.uk/learning/schools_ages_4-16/free_school_meals.aspx
Mode of transport to school *
Permissions
PERMISSION TO LEAVE SCHOOL PREMISES UNDER SUPERVISION *
There are occasions during the school year when teaching staff need to take children off the school premises within the locality for church services and rehearsals, production rehearsals, singing within the community, geography/other topic related work and visits to other NEARS schools for joint activities.  You will be made aware of these occasions (eg Website, Diary of Events in Newsletters/letter from classteacher).  Do you give permission?.
Required
ASSISTANCE WITH SCHOOL OUTINGS / IN-SCHOOL ACTIVITIES
I would like to help on school visits/outings  or with in-school activities and agree to undergoing a DBS (criminal records bureau) check
Clear selection
Name of person completing this form *
Please ensure that the school office is advised of any changes to the foregoing information
Relationship to Child *
IMPORTANT
Pupil Premium
If you are on a low income making a FSM application can greatly benefit your child.
Please read the linked information letter which explains that any accepted applications for Free School Meals (whether or not your child takes the meal up) attract £1320 per child per year which the school can use to greatly enhance the resources available for your child both within the classroom and for extra-curricular activities.  
Making an application is easy and confidential.
LINK to fsm application - https://www.westsussex.gov.uk/education-children-and-families/schools-and-colleges/free-school-meals/
LINK to Pupil Premium information letter - https://dl.dropboxusercontent.com/s/mw9hq6x3aaghirq/Pupil%20Premium%20Letter.pdf?dl=0


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