Cherry Grove Primary School New Starter Form

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EYFS

Email *

Child's full name *

Date of birth *

YYYY

Address *

Postcode *

Ethnicity *

White British

White Irish

White - Traveller (Irish Heritage)

White - Gypsy/Roma

Any other white background

Asian - Bangladeshi

Asian - Indian

Asian - Pakistani

Any other Asian background

Mixed - White/Asian

Black - African

Black - Caribbean

Any other black background

Mixed - White/Black African

Mixed - White/Black Caribbean

Chinese

Any other mixed background

Any other ethnic group

Prefer not to say

Other:

Home Language *

Has your child previously attended a Nursery/Pre-School - if yes please state where. Please include Name, Address and Telephone number. *

Medical Practice *

How will your child travel to school? *

Walk

Car

Cycle

Bus

Taxi

Other:

Title of child's first parental contact: *

Miss

Mrs

Other:

Required

First name of child's first parental contact: *

Last name of child's first parental contact: *

Address and postcode *

E-mail address *

Home phone number *

Mobile Number *

Work Number *

Title of child's second parental contact: *

Miss

Mrs

Other:

Required

First name of child's second parental contact: *

Last name of child's second parental contact:
*

Address and postcode *

E-mail address *

Home phone number *

Mobile number *

Work number *

Names and telephone numbers of any other people we can contact in an emergency (in contact order) Please include address of contact. *

Food Allergies *

Yes

My child has an allergy to the following food(s) if none put N/A *

Permission to taste food (part of the Curriculum) *

Yes

Permission to watch PG rated films *

Yes

Home Time Arrangements - Name of person(s) collecting, Relationship to pupil and days please. *

Home Time Arrangements - Password for last minute changes for pick up *

Year 5 & 6 ONLY Home Time Arrangements -

My child must go home with an adult?

Yes

Clear selection

Year 5 & 6 ONLY Home Time Arrangements -

Permission to walk home without an adult?

Yes

Clear selection

Year 5 & 6 ONLY Mobile Telephone -

My child has permission to bring their Mobile Telephone to school (must be handed to their class teacher at morning registration and will be given back at home time)?

Yes

Clear selection

Publications of Photographs - Permission to take photographs of your child for the following purposes (please tick all that apply) *

School Displays

School Publications

School Website

School Twitter Feed

Press Release

I do not give permission for any photographs to be taken

Required

Medical Data -

Please list any medical conditions your child has, if none please input 'None'

Paediatrician or Specialist Details

Name, Address/Department and Telephone number (If not applicable please input N/A)

Submit

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