Consent Form - September 2023
Please make sure you have read through the relevant corresponding requests for permission and note your preferences below.
If this form is not completed consent will be assumed to be given in all areas. 
Sign in to Google to save your progress. Learn more
Email *
Parent's Name *
Child's Name *
Date of birth *
MM
/
DD
/
YYYY
Address *
Photographic Consent -  tick those you consent to *
Required
School Trips & Other Off-Site Activities
To take part in local school trips and other activities that take place off school premises and to be given first aid or urgent medical treatment during any school trip or activity.
I confirm I have read and understood the School Trips & Off-Site Activities Agreement and agree to the arrangements outlined and the giving of first aid or urgent medical treatment *
Required
Devices & Online Acceptable Use Policy
How we all agree to stay safe when using devices and going online.

I confirm that both myself and my child have read and discussed the Devices & Online Acceptable Use Policy and agree to support the schools online safety approaches *
Required
Home School Agreement
At LDSM we believe successful partnership between the school, parents/carers and the children helps each child to take full advantage of all the school has to offer. The Home School Agreement supports this partnership, in the interests of our children, to promote high standards of work and behaviour, to support the Christian values of the school and to work together to encourage each child to develop his/her full potential, academically, socially and spiritually.  
As parent/carer I can confirm that both myself and my child have read and have understood the Home School Agreement and agree that both myself and my child will do all we can to adhere to these standards. *
Required
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Long Ditton St Mary's Church of England Junior School. Report Abuse