New Joiner Information Form "*" indicates required fields 1Your details2Child3Contacts4Pastoral5Current School6Medical7Languages8Photo consent9Trips10Ethnicity Who's filling in this form?* First Last Relationship to child*SelectMotherFatherStep-MotherStep-FatherNannySiblingAuntUncleNeighbourGrandparentGuardianFamily friendAu PairPersonal/Executive Assistant Basic Information for Your ChildChild's Legal Name* First Middle Last Child's Preferred NameIf different from legal First NameWhich year group is your child joining?*NurseryReceptionYear 1Year 2Year 3Year 4Year 5Year 6Date Of Birth* DD slash MM slash YYYY ReligionPlease upload a photograph of your child*Max. file size: 2 MB.The photograph will be used to identify your child on our school database.Nationality & VisasChild's Country of Birth*Child's Nationality*Please upload a copy of your child's passport*Max. file size: 2 MB.Is your child a British or Irish Citizen?* Yes No If not a UK citizen, details of parental visa status:*If not a UK citizen, please upload Visa evidence for your child (share code, BRP card, notice of Leave to Remain, etc.)*Max. file size: 2 MB.If not a UK citizen, please upload Visa evidence for the parent on which the child's visa is dependent (share code, BRP card, notice of Leave to Remain, etc.)*Max. file size: 2 MB.Address & Living ArrangementsChild's Primary Address* Street Address Address Line 2 City Post Code Aland IslandsAlbaniaAlgeriaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian OceanBrunei DarussalamBulgariaBurkina FasoBurmaBurundiCHINACambodiaCameroonCanadaCape VerdeCape VerdeCayman IslandsCentral African RepublicChadChileChristmas IslandCoco(Keeling) IslandColumbiaComorosCongoCongo (DRC)Cook IslandsCosta RicaCroatia (Hrvatska)CubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern and Antarctic LandsGabonGambiaGeorgiaGermanyGhanaGibraltarGrand CaymanGreeceGreenlandGrenadaGuadeloupeGuatemalaGuernseyGuineaGuinea-BissauGuyanaHONG KONGHaitiHeard Island and McDonald IslandsHoly See (Vatican City State)HondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJAPANJamaicaJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedonia, the former Yugoslav Republic ofMadagascarMalawiMalaysiaMaldivesMaliMaltaMartiniqueMauritaniaMauritiusMayotteMexicoMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNIGERIANamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNiueNorfolk IslandNorwayOmanPakistanPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalQatarRUSSIAReunionRomaniaRwandaSaint BarthelemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaSão Tomé and PrincipeTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Island(British)Wallis and Futuna IslandsWestern SaharaYemenZambiaZimbabwe Country With whom do they live at this address?*Please tick this box if your child lives at multiple addresses Yes Child's Secondary Address Street Address Address Line 2 City ZIP / Postal Code Aland IslandsAlbaniaAlgeriaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian OceanBrunei DarussalamBulgariaBurkina FasoBurmaBurundiCHINACambodiaCameroonCanadaCape VerdeCape VerdeCayman IslandsCentral African RepublicChadChileChristmas IslandCoco(Keeling) IslandColumbiaComorosCongoCongo (DRC)Cook IslandsCosta RicaCroatia (Hrvatska)CubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern and Antarctic LandsGabonGambiaGeorgiaGermanyGhanaGibraltarGrand CaymanGreeceGreenlandGrenadaGuadeloupeGuatemalaGuernseyGuineaGuinea-BissauGuyanaHONG KONGHaitiHeard Island and McDonald IslandsHoly See (Vatican City State)HondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJAPANJamaicaJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedonia, the former Yugoslav Republic ofMadagascarMalawiMalaysiaMaldivesMaliMaltaMartiniqueMauritaniaMauritiusMayotteMexicoMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNIGERIANamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNiueNorfolk IslandNorwayOmanPakistanPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalQatarRUSSIAReunionRomaniaRwandaSaint BarthelemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaSão Tomé and PrincipeTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Island(British)Wallis and Futuna IslandsWestern SaharaYemenZambiaZimbabwe Country With whom do they live at this address?Please share any information you think we need to know about your child's living arrangements and schedule: Contact Information for ParentsParent or Guardian 1: Name* DrMissMrMrsMsProf.Rev. Prefix First Last Relationship*SelectMotherFatherStep-MotherStep-FatherNannySiblingAuntUncleNeighbourGrandparentGuardianFamily friendAu PairPersonal/Executive AssistantMobile Phone*Work PhoneHome PhoneEmail* Occupation*NotesParent or Guardian 2: Name* DrMissMrMrsMsProf.Rev. Prefix First Last Relationship*SelectMotherFatherStep-MotherStep-FatherNannySiblingAuntUncleNeighbourGrandparentGuardianFamily friendAu PairPersonal/Executive AssistantMobile Phone*Work PhoneHome PhoneEmail* OccupationNotesAdd Another Contact? Yes Please provide details of anyone else who we may need to contact, e.g. a grandparent, Nanny etc.Name Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Prefix First Last PhoneEmail Relationship to childSelectMotherFatherStep-MotherStep-FatherNannySiblingAuntUncleNeighbourGrandparentGuardianFamily friendAu PairPersonal/Executive AssistantAdd Another Contact? Yes Please provide details of anyone else who we may need to contact, e.g. a grandparent, Nanny etc.Name Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Prefix First Last PhoneEmail Relationship to childSelectMotherFatherStep-MotherStep-FatherNannySiblingAuntUncleNeighbourGrandparentGuardianFamily friendAu PairPersonal/Executive AssistantEmergency ContactsIn the event that we are unable to reach you we will contact the names listed above. If you would like to add an additional emergency contact please provide their details below: Name* Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Prefix First Last Phone*Email Relationship to child*SelectMotherFatherStep-MotherStep-FatherNannySiblingAuntUncleNeighbourGrandparentGuardianFamily friendAu PairPersonal/Executive Assistant Pastoral InformationPlease circle where your child comes in the family, and whether siblings are brother or sisters.Child’s position in family* 1 2 3 4 5 6 Brothers 1 2 3 4 5 6 Sisters 1 2 3 4 5 6 Any other information that you feel may be relevant e.g. marital status, adopted etc.: Nursery SessionsPlease indicate below which sessions you would like your child to attend in Nursery during the Autumn term. All children must attend 5 sessions per week. This can be a mixture of mornings and afternoons, half days and full days. We will invoice you for the Autumn term based on your responses here. You can update your sessions at any time by contacting info@orchardhs.org.ukMonday Monday Morning (8:40am – 12:00pm) Monday Afternoon (12:00pm – 3:30pm) Tuesday Tuesday Morning (8:40am – 12:00pm) Tuesday Afternoon (12:00pm – 3:30pm) Wednesday Wednesday Morning (8:40am – 12:00pm) Wednesday Afternoon (12:00pm – 3:30pm) Thursday Thursday Morning (8:40am – 12:00pm) Thursday Afternoon (12:00pm – 3:30pm) Friday Friday Morning (8:40am – 12:00pm) Friday Afternoon (12:00pm – 3:30pm) Current Nursery / School InformationHas your child attended any kind of pre-school provision for one term or more?* Yes No Type of pre-school provision most recently attended: Playgroup Part-Time Full-Time State Nursery School Part-Time Full-Time Private Nursery School Part-Time Full-Time Social Services Day Nursery Part-Time Full-Time Other Part-Time Full-Time If you selected 'Other', please give details below:Name and address of pre-school/ school Street Address Address Line 2 City Post Code Aland IslandsAlbaniaAlgeriaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian OceanBrunei DarussalamBulgariaBurkina FasoBurmaBurundiCHINACambodiaCameroonCanadaCape VerdeCape VerdeCayman IslandsCentral African RepublicChadChileChristmas IslandCoco(Keeling) IslandColumbiaComorosCongoCongo (DRC)Cook IslandsCosta RicaCroatia (Hrvatska)CubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern and Antarctic LandsGabonGambiaGeorgiaGermanyGhanaGibraltarGrand CaymanGreeceGreenlandGrenadaGuadeloupeGuatemalaGuernseyGuineaGuinea-BissauGuyanaHONG KONGHaitiHeard Island and McDonald IslandsHoly See (Vatican City State)HondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJAPANJamaicaJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedonia, the former Yugoslav Republic ofMadagascarMalawiMalaysiaMaldivesMaliMaltaMartiniqueMauritaniaMauritiusMayotteMexicoMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNIGERIANamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNiueNorfolk IslandNorwayOmanPakistanPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalQatarRUSSIAReunionRomaniaRwandaSaint BarthelemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaSão Tomé and PrincipeTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Island(British)Wallis and Futuna IslandsWestern SaharaYemenZambiaZimbabwe Country Email address of pre-school/school For new joiners into Nursery or Reception, we will contact their previous pre-school setting to request a Safeguarding Form.Date of admission to pre-school/ school: DD slash MM slash YYYY Name and address of any other school(s) attended (including date of admission & date of leaving) Medical InformationPlease provide details of your child’s GP Practice:* Street Address Address Line 2 City Post Code Aland IslandsAlbaniaAlgeriaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian OceanBrunei DarussalamBulgariaBurkina FasoBurmaBurundiCHINACambodiaCameroonCanadaCape VerdeCape VerdeCayman IslandsCentral African RepublicChadChileChristmas IslandCoco(Keeling) IslandColumbiaComorosCongoCongo (DRC)Cook IslandsCosta RicaCroatia (Hrvatska)CubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern and Antarctic LandsGabonGambiaGeorgiaGermanyGhanaGibraltarGrand CaymanGreeceGreenlandGrenadaGuadeloupeGuatemalaGuernseyGuineaGuinea-BissauGuyanaHONG KONGHaitiHeard Island and McDonald IslandsHoly See (Vatican City State)HondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJAPANJamaicaJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedonia, the former Yugoslav Republic ofMadagascarMalawiMalaysiaMaldivesMaliMaltaMartiniqueMauritaniaMauritiusMayotteMexicoMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNIGERIANamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNiueNorfolk IslandNorwayOmanPakistanPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalQatarRUSSIAReunionRomaniaRwandaSaint BarthelemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaSão Tomé and PrincipeTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Island(British)Wallis and Futuna IslandsWestern SaharaYemenZambiaZimbabwe Country Please circle if any of the following apply to your child:* Hyperactivity Distractibility Sleeping problems Premature Sight difficulties Hearing difficulties Pregnancy/birth problems Allergies None of the above If any of the above applies to your child, please provide further information if you feel it would be useful to the school.Does your child suffer from regular colds/ sinus problems? If yes, please give details.Does your child suffer from regular middle ear infections? If yes, please give details.Has your child had any significant operations e.g. tonsils/adenoids/grommets? If yes, please give details and dates.Has your child had any major accidents or injuries that we should be aware of? If yes, please give details.Is there any reason why your child cannot participate in any physical activity? If yes, please give details.Please tick if your child suffers from any of the following conditions:* None of the below Allergies Drug sensitivity Reaction to insect stings Serious illnesses If you ticked yes to any of the above, please provide further information:Please tick if your child has or has had the following diseases/conditions:* None of the below Chicken pox Rubella (10 day measles) Rubella (3 day German measles) Mumps Scarlet Fever Heart Disease Pneumonia Rheumatic Fever Tuberculosis Poliomyelitis Epilepsy Diabetes Asthma Scarlet Fever Hepatitis If you ticked yes to any of the above, please provide details and dates:ImmunisationsPlease select all immunisations your child has had.* Diphtheria Tetanus Polio Whooping cough MMR x 2 Meningitis C None of the above Select AllIf your child has not had one of these immunisations or completed the course (if relevant), please let the school office know if and when your child is immunised.Immunisation Date: Diptheria DD slash MM slash YYYY Immunisation Date: Tetanus DD slash MM slash YYYY Immunisation Date: Polio DD slash MM slash YYYY Immunisation Date: Whooping Cough DD slash MM slash YYYY Immunisation Date: MMR (First dose) DD slash MM slash YYYY Immunisation Date: MMR (Second dose) DD slash MM slash YYYY Immunisation Date: Meningitis C DD slash MM slash YYYY MedicationIf your child takes medication on a regular basis, what is the name of the medicine and the frequency that it is taken?Does your child use an inhaler?* Yes No Does your child use an Adrenaline Auto-Injector?* Yes No Please provide any other health information relating to your child that you feel we should know.Is your child allergic to plasters or antiseptic wipes?* Yes No (Unless the school has been informed that your child is allergic to either plasters or antiseptics, if an accident should occur the wound will be cleaned with water and/or an antiseptic wipe and a plaster applied if necessary.) Consent to General Treatment and First AidIn order for a child to receive prescribed medicines or over the counter remedies, the Administering Medicines – Parental Request Form must be completed and signed. These forms are in the school office. In addition, any medicines brought to school must be clearly marked with your child’s name and class. Before administering any medication such as Calpol or Nurofen parents will be called. We give consent for our child to receive all the general health care and first aid services provided at the School under the supervision of the appropriately qualified First Aider.Please tick as appropriate: I consent for my child to be given non-prescribed medicines to treat minor illness of injury.* Yes No I consent for my child to be given first aid treatment by any qualified member of staff.* Yes No I consent for my child to be given prescribed medicines to treat minor illness or injury.* Yes No Signature: Parent 1*Signature: Parent 2*Consent to Emergency TreatmentWe authorise the Headmaster, or an authorised deputy / Senior Leader acting on his behalf, to consent on the advice of an appropriately qualified medical specialist to our child receiving emergency medical treatment, including general anaesthetic and surgical procedure [under the NHS] / [privately, either at our expense, or under our private medical insurance cover] if the school is unable to contact us in time.Signature: Parent 1*Signature: Parent 2*DietDoes your child have any special dietary requirements or food restrictions?* Yes No My child is known to have the following special dietary requirements or food allergies:*Please include any food restrictions due to religion. General Information and Learning DevelopmentLANGUAGESPlease tick as appropriate* My child speaks ONLY English at home My child REGULARLY speaks English and another language at home My child speaks ONLY another language at home Which other language do they speak?If the main language is NOT English, how would you describe your child’s level of English? New to English Becoming familiar with English Becoming a confident user of English A very fluent user of English in most social and learning contexts How would you describe your child’s level of the other language spoken at home? Understands more than can speak Can speak and understand Can speak and understand on the same level as English Please provide any other information you think is necessary about your child’s language skills.EDUCATIONAL NEEDSIn order that your child can be fully supported at school can you please inform us if your child has any of the following:Did your child receive Learning Support at his previous school / nursery?* Yes No If Yes, please explain briefly:Educational Psychologist report* Yes No Speech and Language Therapist report?* Yes No If Yes, did your child attend speech and language sessions?* Yes No Occupational Therapist report?* Yes No If Yes, did your child attend occupational therapy sessions?* Yes No Physiotherapist report?* Yes No If Yes, did your child attend physiotherapist sessions?* Yes No Other* Yes No Please specifyIf you have ticked YES to any of the above please provide further details you think would help us support your child’s educational needs? Photo consentOccasionally, we may take photographs of the children at our school. We may use these images as part of our school displays and sometimes in our school’s prospectus or in other printed publications that we produce. We may also use them on our school website and make video or webcam recordings for school-to-school conferences, monitoring or other educational use.If we use photographs of individual pupils, we will not use the name of that child in the accompanying text or photo caption. If we name a pupil in the text, we will not use a photograph of that child to accompany the article. If a child has won an award and the parent would like the name of their child to accompany their picture, we will obtain permission from the parent before using the image.From time to time, our school may be visited by the media who will take photographs or film footage of a visiting dignitary or other high-profile events. Pupils will often appear in these images, which may appear in local or national newspapers, approved websites or on televised news programmes. To comply with the General Data Protection Regulations (GDPR), we need your permission before we can photograph or make any recordings of your child.Please answer the questions below, then sign and date the form where shown. You can change your preferences any time by emailing: registrar@orchardhs.org.uk.Do you give consent for us to use your child’s photograph for INTERNAL use? (For example: school newsletters, Parents Handbooks, Yearbooks, and end of year videos) – ONLY SHARED AMONGST CURRENT PARENTS* I consent I do not consent FOR NURSERY & RECEPTION ONLY: Do you give consent for us to use your child's photograph for INTERNAL use, in other children's online EYFS learning profile (Tapestry)? – ONLY SHARED AMONGST PARENTS IN YOUR CHILD'S CLASS AND TEACHING STAFF* I consent I do not consent Not applicable, my child will NOT be attending Early Years (Nursery-Reception) Do you give consent for us to use your child’s photograph on the school website and school collateral such as the prospectus, curriculum brochures, etc.* I consent I do not consent Do you give consent for us to use your child’s photograph or video on the school's official social media platforms (Facebook, Instagram, YouTube)?* I consent I do not consent Do you give consent for us to use your child’s photograph for Advertising (such as banners, magazine ads and editorials)?* I consent I do not consent Signature*Consent to be included in your Class DirectoryWe provide contact details to the parent representative in the class/ year group, in order that you can organise play dates, birthday parties etc. Please indicate if you do/do not wish to be included in this directory. Yes, please include our details in the directory No, please do not include our contact By signing below you agree to Orchard House School sharing your contact details with other parents in your class both electronically and in paper format. Signature Consent for trips and off-site activitiesI consent for my child to take part in school trips and other activities that take place off school premises.* Yes No I consent for my child to be given first aid or urgent medical treatment during any school trip or activity.* Yes No Please note the following important information before signing this form:● The trips and activities covered by this consent include:o all visits which take place during the term time, holidays or a weekend such as chess or sports fixtureso all off-site activities for Early Years classes o playtime visits to Hampstead Heath● The school will send you information about each trip or activity before it takes place.● You can, if you wish, tell the school that you do not want your child to take part in any particular school trip or activity.Written parental consent will not be requested from you for the majority of off-site activities offered by the school – for example, year-group visits to local amenities – as such activities are part of the school’s curriculum and usually take place during the normal school day.Signature* NATIONALITY AND ETHNICITYEthnicityEthnic Background Questionnaire Based on 2001 national population Census classifications Ethnic background: A person’s ethnic background describes how they see themselves. This may be based on many things, including, for example, their skin colour, language, culture, ancestry, or family history. Ethnic group is not the same as nationality or country of birth. Please read the following list and tick the appropriate category box to indicate your child’s ethnic background. Alternatively, if you do not wish your child’s ethnic background to be recorded in this way you should tick the relevant box, which you will find at the end of this list. You should only tick ONE of the following boxes:White British Irish Any other White Background Mixed White and Black Caribbean White and Black African White and Asian Any other mixed background Asian or Asian British Indian Pakistani Bangladeshi Any other Asian background Black or Black British Caribbean African Any other Black Background Ethnic background Chinese Any Other Ethnic Group I do not wish my child’s ethnic background to be recorded in this way NationalityIs your child British? Yes No If No, what is their nationality(Note: Any information that you provide will be solely used to compile statistics on the school careers and experiences of pupils from different ethnic backgrounds, to help ensure that all pupils have the opportunity to fulfil their potential. These statistics will not allow individual pupils to be publicly identified. From time to time the information may be passed to the Department for Children, Schools and Families and the Independent Schools Council to contribute to local and national statistics. The information may also be passed on to any future schools that your son/daughter attends. By completing and returning this form, you are consenting to such use of this information.) Data Protection Act 2018 and UK GDPR: The school is registered under the Data Protection Legislation for holding personal data. The school has a duty to protect this information and to keep it up to date. The school is required to share some of the data with the Local Authority and with the DFE. GDPR 2018: Orchard House School is part of Dukes Education and our full Privacy Policy is available here https://www.orchardhs.org.uk/about/policies/SignatureCAPTCHA
