Data Collection Form 2023/2024

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Thank you for registering your interest at Monteney Nursery, to formally put your child on the waiting list, please complete the following form in full.

Once you have completed the form, please monitor the email address you use closely. You will be contacted within 8 weeks of your child's admission month (this will be September, January or April).

Please add the following email addresses to your address book so you do not miss vital information, all correspondence going forward will be done through email.

office@monteney.sheffield.sch.uk
montnursery@monteney.sheffield.sch.uk

We look forward to welcoming you to Monteney Nursery.

Email *

My child's date of birth is before *

31/12/2020 - January 2024 Admissions

31/03/2021 - April 2024 Admissions

31/08/2021 - September 2024 Admissions

31/12/2021 - January 2025 Admissions

31/03/2022 - April 2025 Admissions

31/08/2022 - September 2025 Admissions

31/12/2022 - January 2026 Admissions

31/03/2023 - April 2026 Admissions

31/08/2023 - September 2026 Admissions

31/12/2023 - January 2027 Admissions

Other:

Your Full Name: *

Child's Legal Forename: *

Child's Legal Surname: *

Child's Middle Name - if applicable:

Preferred Forename - if applicable:

Child's Date of Birth: * *

YYYY

Child's Gender: * *

Male

Female

Home address, including postcode: * *

Main Telephone Number: * *

Authorised Person/Family Details

All persons nominated by yourself will have their details recorded on our school database.

Should we need to contact you regarding your child we will always contact the main telephone number provided and/or persons with parental responsibility first, if this is unsuccessful we may try other stored numbers that relate to your child if appropriate.

Please list up to 3 persons below who can be contacted regarding your child, and who have permission to collect them from our Nursery.

Contact Priority 2 Name: * *

Contact Priority 2 Relationship to Child: * *

Option 1

Contact Priority 2 Contact Telephone Number: * *

Contact Priority 3 Name: * *

Contact Priority 3 Relationship to Child: * *

Option 1

Contact Priority 3 Contact Telephone Number: * *

Dietary Requirements & Medical Information

Please indicate whether any of the following requirements apply to your child: * *

Vegetarian

Vegan

Kosher

Gluten-free

Halal

None

Please indicate whether your child has any of the below food allergies: * *

Nuts

Fish

Seafood

Dairy

None

Other

If you have selected 'Other', please give further information: *

Does your child have any medical history, or are there any medical issues school needs to be aware of? * *

GP's Name and address: * *

Are there any other health professionals involved? * *

yes

If so, please state their name, address, occupation & contact telephone number below: *

Ethnic/Cultural Information

Please select your child's ethnicity: *

White British

Irish

Traveller (Irish Heritage)

Gypsy/Roma

White Eastern European

Any Other White Background

White & Black Caribbean

White & Black African

White & Pakistani

White & Any Other Asian Background

Any Other Mixed Background

Indian

Pakistani

Bangladeshi

Any Other Asian Background

Caribbean

Somali

Other Black African

Any Other Black Background

Chinese

Yemeni

Any Other Ethnic Group

Refused Information

Home Language: * *

First Language: * *

Country/Birthplace: * *

Arrival date in UK (if not British Born):

YYYY

Is your child an asylum seeker: * *

yes

Is your child a refugee: *

yes

Clear selection

Is your child an EU Migrant: *

yes

Clear selection

Does your child have British Citizenship: *

yes

Clear selection

Does your child have residency: *

Yes

Clear selection

Religion: * *

Is an interpreter needed for school to communicate with parents? *

yes

Clear selection

If yes, please state the interpreters name, address and contact telephone number:

How will your child travel to school? *

Local Authority Provided Transport

Family Car

Public Transport

Walk

Other:

Clear selection

Name of Previous Educational Setting (if applicable):

Parental Consent:

This area of the form covers varying parts of the curriculum, local educational visits, photographs/video, our social media platforms and website.

This information will be retained for their whole school life at Monteney Primary School, to make amendments to this, please contact the office directly.

I agree that my child can participate in various cooking activities and agree to them sampling the food: *

yes

Clear selection

I agree that my child can attend impromptu, local educational visits without specific consent. All children will be adequately supervised. *

Yes

Clear selection

I consent for my child's photo to be taken: *

Yes

Clear selection

I consent for my child's photo/video containing my child to be used: *

Within school (displays, to promote learning in/around school etc)

Within publicity produced by the school

Within publicity about the school

None of the above

Clear selection

I consent for my child's photo/video containing my child to be used: *

On the school's Twitter account

On the school's website

On the school's Class Dojo page

None of the above

Clear selection

I consent for my child's learning and/or pieces of work to be used to promote the school in a positive light on the school's Twitter account, website and Class DoJo page: *

Yes

Clear selection

Send me a copy of my responses.

Submit

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