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Ton Pentre Junior School - New Starter Pack
Data Collection
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* Indicates required question
Pupil Surname
*
Your answer
Pupil Legal Surname
*
Your answer
Pupil Forename
*
Your answer
Middle name(s)
Your answer
Chosen name
*
Your answer
Gender
*
Female
Male
Other:
Date of Birth
*
MM
/
DD
/
YYYY
Address
*
Your answer
Post code
*
Your answer
Telephone
*
Your answer
Email
*
Your answer
Emergency Contact
Please give details of all persons who you wish to be contacted in an emergency. Place them in order that you wish for them to be contacted in an emergency. Please state relationship to child, their home address and a contact telephone number.
Contact 1
Name
*
Your answer
Relationship
*
Your answer
Home Address (inc postcode)
*
Your answer
Telephone Number
*
Your answer
Contact 2
Name
*
Your answer
Relationship
*
Your answer
Home address (inc postcode)
*
Your answer
Contact Number
Your answer
Contact 3
Name
*
Your answer
Relationship
*
Your answer
Home Address (inc postcode)
*
Your answer
Contact number
*
Your answer
Dietary Needs/Allergies
*
If special diet required , please contact RCT Catering Services
Your answer
Medical Practice Name
*
Your answer
Medical Practice Address
*
Your answer
Medical Practice Contact Number
*
Your answer
Medical Information
*
Please provide details of any medical condition(s) the school should be aware of, and any action the school should take in relation to the medical condition(s) E.g Asthma - blue pump to be taken 4 times when required.
Your answer
Disabilities
*
Your answer
Religion
Your answer
Is English your first Language
*
Yes
No
If No please state your first language
Your answer
Welsh Language
The following questions ask about the Welsh language ability of the pupil and its use in the home
Fluency in Welsh (tick the option which best describes your child's fluency in Welsh)
Column 1
Speaks Welsh fluently
Speaks Welsh but not fluently
Does not speak Welsh
Column 1
Speaks Welsh fluently
Speaks Welsh but not fluently
Does not speak Welsh
If your response to the question above is 'Speaks Welsh Fluently' or ' Speaks Welsh but not fluently', please answer the questions below. If your child does not speak welsh, go to the next section (Ethnicity)
Does your child speak Welsh at home?
Choose
Speaks Welsh at home
Does not speak Welsh at home
Does your child speak Welsh at home with Parents or Carer?
Choose
Speaks Welsh with one parent/carer
Speaks Welsh with both parent/carers
Does not speak Welsh at home with parents/carers
Does your child speak Welsh in the home with their siblings (brother(s) or sister(s)?
Choose
Speaks Welsh with sibling(s)
Does not speak Welsh with sibling(s)
Does not have sibling(s)
Ethnicity
Please tick the appropriate choice
White
Choose
British
Traveler
Gypsy/Gypsy Roma
Any other white background
Mixed
Choose
White and Black Caribbean
White and Black African
White & Asian
Any other mixed background
Asian or Asian British
Choose
Indian
Pakistani
Bangladeshi
Any other Asian Background
Black or Black British
Caribbean
African
Clear selection
Chinese or Chinese
Chinese British
Chinese
Clear selection
Other
Any other ethnic background
Clear selection
I do not wish an ethnic background to be recorded
Yes
No
Clear selection
National Identity
*
English
Welsh
British
Scotish
Other
Is English an additional language
Yes
No
Clear selection
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