Pupil Consent Form 2021-22
During a pupil’s time with us we will gather information about them which we will use for various purposes.  A Privacy Notice has been provided to you in relation to the use of this information, which is also available on the school website.

https://www.leopoldprimary.co.uk/key-information/gdpr

There are some things that we cannot do unless you tell us that we can.  We have set these out in the tables attached.  Please could you read this form very carefully and tick the appropriate options.  This will let us know which of these things you are happy for us to do, and which you are not.

If you are not happy for us to do any of the things in the tables attached then this will not affect your child’s place at Leopold Primary School. You are completely free to refuse to provide your consent to any of these things.  You do not have to provide reasons for refusing your consent, but we are happy for you to give us additional information if you choose to so that we understand any concerns that you have and can take appropriate steps where necessary.

Photographs and Videos
Some of the information in the attached tables includes photographs and videos of your child.  We assure you that we take very seriously the issue of potential misuse of photographs and videos of our pupils, and have the following measures in place:

Leopold Primary School may provide photographs and videos to the media, or may be visited by the media who will take videos and photographs.  When these have been submitted to or taken by the media Leopold Primary School has no control over these.

Sign in to Google to save your progress. Learn more
Pupil's full name *
Pupil's year group *
Which site does your child attend? *
Celebrating Your Child’s Achievements and Reporting on Events
As Leopold Primary School we are very proud of the achievements of all of our pupils, and we want to be able to celebrate these achievements both within the school and with others.  We may also want to report on significant events which involve our pupils, such as visits from dignitaries.  This will involve providing information about involvement in certain activities such as sports.

Please tick either Yes/No to give/withhold consent for the following:
I am happy for information to be used in order to celebrate my child’s achievements and consent to the use my child’s: *
Yes
No
Name
Class
Year group
Videos of my child
Photographs of my child
I am happy for the following information to be used but only without photographs or videos of my child: *
Yes
No
Name
Class
Year group
I am happy for the information selected above to be used: *
Yes
No
On the school's Instagram & Twitter
On the school’s intranet
On internal screens which may also be viewed by visitors to the school site and/or on internal notice boards
In local news media – newspapers, websites and television
In national news media – newspapers, websites and television
Promoting Leopold Primary School
We want to be able to promote the school to attract new pupils, and to show the quality of the school.  As part of this we want to be able to use photographs and videos of our pupils in promotional material.  This will include our prospectus and poster.
I am happy for the information selected below to be used for the purpose of promoting Leopold Primary School: *
Yes
No
Photographs of my child
Videos of my child
The following information may be used with the above: *
Yes
No
Name
Class
Year group
I am happy for the following information to be used but only without photographs or videos of my child: *
Yes
No
Name
Class
Year group
I am happy for the information selected above to be used: *
Yes
No
On the school’s website
In the school’s prospectus
Supporting Your Child’s Learning and Development
We would like to enable your child to access remote learning opportunities and educational tools to support their learning whilst at school. We would also like to support your child in accessing services from additional providers, such as Speech and Language or Occupational Therapists or to seek advice from them on how best to support your child. All providers have undergone due diligence to ensure that data is safe and used solely for the purpose(s) set out above.
You may change your mind in relation to any of the consents that you have provided at any time.  This includes withdrawing your consent to anything that you have agreed to here.

To withdraw your consent to any of the above, or otherwise amend your position, please contact our Data Protection Lead: Anil Albana admin@leopold.brent.sch.uk

This consent will otherwise continue until your child leaves the school.

Signed by: *
Date: *
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Leopold Primary School. Report Abuse