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Amherst School

Amherst School

Statutory Info

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Enrolment Form

The form must be completed for all children (who has been offered a place) prior to entry into the school. It is essential all questions are completed fully. If you are unsure of anything, please speak to a member of the office team. Please note all information will be treated as confidential in accordance with GDPR regulations.

BEFORE YOU BEGIN, PLEASE READ!

Please allow 15-20 minutes to complete the form.

Once completed, you will be able to print the enrolment form. Unfortunately, it is impossible to save this form and come back to it later. For this reason, please have the following information to hand before you begin:

A - YOUR CHILD

Select one of the following*

Siblings at Amherst

 NameSurnameClass

B - CONTACT INFORMATION

 Contact Number 1 - this person below will be the first person to be contacted in case of an emergencyContact Number 2 - this person below will be the second person to be contacted in case of an emergency
Title: Mr/Mrs/Miss/Ms
Forename:
Surname:
Relationship to the child:
Address - if different from the child's home address:
Post Code:
Home Telephone number:
Work Telephone number:
Mobile number:
Email Address:
I agree to receive communication via the Schoolcomms secure platform used to communicate with parents: YES / NO

C - LOCAL EMERGENCY CONTACTS

 Contact Number 3 - The person below will be the third person to be contacted in case of emergency.Contact Number 4 - (OPTIONAL) The person below will be the fourth person to be contacted in case of emergency.
Title: Mr/Mrs/Miss/Ms
Forename:
Surname:
Relationship to the child:
Home Address:
Town:
Post Code:
Home Telephone Number:
Work Telephone Number:
Mobile Number:
Email address:

D - EDUCATION

 SchoolTelephone Number
Which school did your child last attend?
Does your child have any Speech & Language difficulties?*
Does your child have any Special Educational Needs?*

If yes, what stage is your child at?

SEN Support*
EHC Plan*

A child in Public Care (Looked after Child) means a person under the age of 18 years for whom the Local Authority provided accommodation by agreement with their parents/carers or who is the subject of care order under Part IV of the Children’s Act 1989. Children who are looked after under an agreement series of short term placements such as respite are excluded.

Is your child adopted, or subject to a residence or special guardianship order, having previously been in public care? (Please tick the box if yes and send a copy of the adoption order to the school office.)
If a child’s parents are divorced or separated, can you please inform the school in writing of where your daughter/son lives during the school week. (Please tick the box if a letter will be sent to the office)

E - DIETARY INFORMATION

Please read all the information on School Meals provided in the Parent Handbook before answering this question.

Also have a look at the School Meal Menu on the Amherst School Website under PARENTS.

 Monday
 Tuesday
 Wednesday
 Thursday
 Friday

F - MEDICAL INFORMATION

 
Surgery Name:
Surgery Address:
Town:
Post Code:
Telephone Number:

Please give details of any known medical conditions including allergies in the box below.
Please also give details of any mental health diagnoses.

* Please note all children with known medical conditions are required to have a “HEALTH CARE PLAN”
which will be sent to you for completion in the summer term.
* Health Care Plans for asthma are only required if the pupil is on medication.

Will your child require medication at school?*

Our medical policy allows us to administer medicine. prescribed by your child's doctor. We are not able to administer over the counter medication.

An ADMINISTRATION OF MEDICATION FORM will need to be completed for any medicines held in school – this will be sent to you for completion in the summer term. All medication will be held in the office and administered at an agreed time.

G - EMERGENCY CONSENT

Occasionally it is not possible to contact a parent when a child requires hospital treatment during school hours. In such cases, it will be necessary for a member of staff to accompany the child to hospital. The school will continue to try and contact a parent.

In the event of my child requiring emergency medical treatment and the Headteacher (or his representative) being unable to contact me, I give consent for the member of staff accompanying my child to approve the application of any emergency treatment including anaesthetic advised by the medical authorities for the wellbeing of my child.

Please give your consent:*
 NameDate

H - PHOTOGRAPHIC IMAGES CONSENT

Under GDPR regulations, it is important that we are open with you about the way that the school uses photographic and video records of students and seeks your consent to do so. Therefore, we would like to request your permission to use images taken in the ways detailed below:

The school will contact you should they need to use a photograph or video in any way that falls outside of the descriptions below.

I GIVE PERMISSION for the use of photographs and videos in:

- School displays (printed & digital) - School Newsletters - School Website - Videos - Parent Teacher Association - Including External Newspapers / Press*
 NameDate

I - EDUCATIONAL VISITS / TRIPS

• Please give parental consent for local off-site activities offered by the school – These activities are part of the school’s curriculum and usually take place during the normal school day.

• Parental consent will be required for all other trips / educational visits.

• Please tick each button below:

*
*
*
*
*
Please give your consent:*
 NameDate

J - MODE OF TRANSPORT TO GET FROM HOME TO SCHOOL

Select one of the following*

K - SCHOOLCOMMS / SCHOOLGATEWAY Communication

The school sends information, a weekly parent newsletter and other communication via email whenever possible. This information will be sent via Schoolcomms.
Please make sure to say YES in the SCHOOLCOMMS box (section B) for everyone wishing to receive communications in this way.

L - DATA COLLECTION

At times, we are required to provide the Department for Education with various statistical data.
We would therefore be grateful if you could supply the following information.
Please select one choice from the relevant categories below when completing this section.
Please note that any missing information will be marked a refused.

 YesNo
Is English the first language of your child? (this will be the only language your child has been brought up in and hears and speaks at home)
If NO, what is the name of the first language your child has been brought up in?
Has your child grown up hearing and speaking more than one language at home?
If YES, please write the name(s) of these other languages:

L - ETHNIC ORIGIN

Our ethnic background describes how we think of ourselves. This may be based on many things, including, for example, our skin colour, language, culture, ancestry or family history. Ethnic background is not the same as nationality or country of birth.

Please study the list below and tick one box only to indicate the ethnic background of the pupils or child named above.

Please select one of the following:*

I hereby confirm that all the information given in sections A – L is true and correct to my knowledge.

This information was provided by:*
 Name of Parent / GuardianDate

Please be reminded to send the following to the school office at office@amherst.kent.sch.uk:
- Proof of adoption
- Letter in case of divorce / separation, informing us of living arrangements of the child

Many thanks for completing our online Enrolment Form.