Hotham Primary School - Pupil Data Form
PRIVATE AND CONFIDENTIAL - In-year admissions
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Child's Surname *
Child's First Name (s) *
Child's Date of Birth (mm/dd/yyyy) *
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Child's Gender *
Required
If "other", please state here
Which year group will your child be joining at Hotham?
Child's address (please include your postcode) *
Details of Parents/Carers
We have included sections for each parent or carer's details
Parent one - details
Please complete this section for the parent who would be the first contact point
Parent's relationship to child *
Parent's surname *
Parent's first name *
Parent's title *
Required
Parent's mobile number *
Parent's email address *
Parent's Address (if different to Child's address)
Parent two - details
Who would be the second contact for your child?
Parent's relationship to child
Parent's surname
Parent's first name
Parent's title
Parent's phone number
Parent's email address
Parent's address (if different to Child's address)
Who holds legal responsibility for the child? *
Required
If "other", please give details
Emergency contacts
We need at least 2 additional emergency contacts for your child.  We will always try to contact parents first.  Please give us details of other family members or close friends who we can contact if we are unable to reach you. If your emergency contacts change, please update the school office.
Name of Emergency contact - 1 *
Phone Number *
Relationship to child (ie: grandparents, family friend etc)
Name of Emergency contact - 2 *
Phone Number *
Relationship to child (ie: grandparents, family friend etc)
Who will be collecting your child from school?  If you don't yet know or this information changes, please update the school office.
HEALTH INFORMATION
We do need details of your child's GP on file.  If you have recently moved and have not yet registered with a GP, please update this information with us as quickly as possible
GP Name/Practice
GP address
Does your child have any special needs or food allergies? *
If "Yes", please give details here (if your child have a food allergy, you will also need to contact our caterers: specialdiets@edwardsandward.co.uk)
Does your child suffer from any of the following (please tick all that apply)
If you have answered "Yes" to any of the above, please give details here:
Does your child take any pills, drugs, tablets, inhalers, medicines or require any regular injections? (Please give details)
Does your child have any known allergies to medicines or plasters? (Please give details)
Does your child have any Special Educational Need, or do you have any concerns about your child?
Are you or a previous school concerned about any of the following:
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Please give us further details
Ethnic Group (Please tick one box only)
Home language/languages
Would you be happy to support other Hotham Families as a translator in your home language?
Child's first language
Is English a second or additional language for your child?
Clear selection
Religion - What religion is your child?
As part of our religious education, we occasionally hold assemblies to teach pupils about different religions.  Sometimes we are fortunate for visitors to come and talk to the children about their religion.  This is informative only and not for worship. We feel as a school this is very important to support our school value of "Respect". Can  your child take part in these assemblies?
Clear selection
Does your child live in the Borough of Wandsworth?
Are you a military service family?
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Is there anyone who is not legally allowed any access/information about your child? Supporting evidence, such as a court order, would need to be provided. (Please give details)
School Lunches
All children in Reception, Year 1 and Year 2 are entitled to a free school meal under the Government's Universal Free School Meal Scheme.  School meals cost £2.40 a day to children in other year groups.  Please let us know what meal pattern your child will be following.
School Lunches *
School Meal
Packed Lunch
Absent (Part time nursery children)
Monday
Tuesday
Wednesday
Thursday
Friday
Families who are in receipt of Income Support, Income-based Jobseekers Allowance, Income-related Employment and Support Allowance, Support under Part VI of the Immigration and Asylum Act 1999, Child Tax Credit (provided you’re not also entitled to Working Tax Credit and have an annual gross income of no more than £16,190), Working Tax Credit run-on - paid for 4 weeks after you stop qualifying for Working Tax Credit, or Universal Credit may also be entitled to free school meals. Do you think you may qualify? This money is really important income to the school. *
Required
Please provide the name and address of your child's previous nursery /school
Approximately what date did they start at their previous nursery/school?
Is your family supported by Social Services or any other agency (please give details)?
PERMISSIONS
E-Safety - As the parent or legal guardian of the above pupil(s), I grant permission for my daughter or son to have access to use the Internet, LGfL e-mail or School Gmail and other ICT facilities at school. I know that my daughter or son will sign an Acceptable Use Agreement form and that they have rules for responsible ICT use.  I accept that ultimately the school cannot be held responsible for the nature and content of materials accessed through the Internet and mobile technologies, but I understand that the school will take every reasonable precaution to keep pupils safe and to prevent pupils from accessing inappropriate materials. These steps include using an educationally filtered service, restricted access email, employing appropriate teaching practice and teaching e-safety skills to pupils.I understand that if they have concerns about their e-safety or e-behaviour that they will contact me.I understand that the school can confiscate personal equipment to ensure the safety of all children at Hotham Primary School.I will support the school by promoting safe use of the Internet and digital technology at home and will inform the school if I have any concerns over my child’s e-safety. *
Required
Social Media - Hotham uses social media to celebrate things happening in School (we never use children's surnames).  Some of the social media we use include a weekly newsletter which is emailed to parents, our school website and teachers Twitter accounts.   Are you happy for your child's photo to be included? *
Required
Google classroom - we share photos and videos of the children via our google classroom.  This can only be accessed by Hotham families with a password.  Can a photo or video of your child be shared this way?
Clear selection
Occasionally DBS checked third parties would like to use photos of our pupils.  These would be authors visiting Hotham, sports coaches working with the pupils, Wandsworth Council's school brochure or people running workshops with the children.  Can they photograph your child as part of their work? No names will be used on these publications. *
School trips - Although, consent is not required for activities within the Local Area or during a normal school day, the school would like to obtain blanket consent when a child starts at Hotham. This consent is giving permission for pupils to be taken on educational visits within the school day (including transporting the children by public transport/coach). Specific (ie. one-off) parental consent will be obtained for all other visits. *
Home School Agreement - please take time to read our Home School Agreement, which is available in our "Policies" section of the school website. Please go through this document with your child and agree to its content *
Parent volunteers - we really appreciate the help of parent volunteers at Hotham.  Parent volunteers help in a number of ways.  Are you interested in being a parent volunteer? We do ask you commit to the full academic year.
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PTA - Hotham's parent teachers association plays a large part in school life, we hope you will get involved.  More information will follow.
Do you have you any connections with local businesses who may support Hotham's PTA. Or a passion that you'd like to share with the PTA.
If you'd like to be included in your child's class chat group, please write your mobile number here and the name you'd like to be added under.
Community Choir - we are very proud of our community choir.  Mrs Bradshaw runs choir practice before school on Wednesdays.  This group is open to parents to attend with their children and often performs at local events.  Would you be interested in joining our community choir?
Clear selection
Name of the person completing this form
Date of completing this form
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