Data Collection Form – update your information here

CHILD'S DETAILS

Legal Forename (*The legal forename and surname must match the name given on the child’s birth/adoption certificate)*

Legal Surname (*The legal forename and surname must match the name given on the child’s birth/adoption certificate)*

Middle Name*

Preferred Forename

Preferred Surname

Child's Address*

Child's Age*

Child's Gender*: Male Female

Child's Date of Birth*

Other siblings currently attending school here (please give details of child's name and class teacher)

FAMILY/HOME INFORMATION

Please give details of everyone who has parental responsibility (see information at bottom of page) and anyone else to be contacted in an emergency. (Contact priority 1, i.e. the first person to contact in an emergency, contact priority 2, i.e. the second person to contact in an emergency, etc.).

Priority 1 Contact Information:

Fulll name (please include title e.g Mr, Mrs etc)*

Relationship with Child*

Home Address*

Home Telephone Number:*

Mobile Telephone Number*

Email Address*

Work Address and Telephone Number

Parental Responsibility*: Yes No

Priority 2 Contact Information:

Fulll name (please include title e.g Mr, Mrs etc)*

Relationship with Child*

Home Address*

Home Telephone Number:*

Mobile Telephone Number*

Email Address*

Work Address and Telephone Number

Parental Responsibility*: Yes No

Priority 3 Contact Information:

Fulll name (please include title e.g Mr, Mrs etc)*

Relationship with Child*

Home Address*

Home Telephone Number:*

Mobile Telephone Number*

Email Address*

Work Address and Telephone Number

Parental Responsibility*: Yes No

Seperated Parents/Families

Please complete the Priority 9 information below for a parent who does not live with the child named above. The named person must have parental responsibility and we may ask to see the evidence. This parent will receive a copy of all school reports/appropriate correspondence.

Fulll name (please include title e.g Mr, Mrs etc)

Relationship with Child

Home Address

Home Telephone Number:

Mobile Telephone Number

Email Address

Work Address and Telephone Number

Parental Responsibility Yes No

MEDICAL DETAILS

Please indicate any medical information relevant to your child

Doctor's surgery name and telephone number

ETHNIC ORIGIN, LANGUAGE AND RELIGION

Ethnic origin may also be about background, language and culture. It may not always be the same as nationality, race or birthplace.

Ethnic origin* Select White – British White – Irish Traveler of Irish Heritage Any other white background Gypsy/Roma White and Black Caribbean White and Black Asian Any other mixed background Indian Pakistani Bangladeshi Any other Asian background Black Caribbean Black African Any other Black background Chinese Other

Religion* Select Buddhist Christian Hindu Jewish Muslim Sikh No religion I do not wish a religious affiliation to be reported Other

First language* Select English Other

If first language is 'other', please state what language is spoken

Second language if applicable

National identity Select English Welsh Scottish Irish British Other

Country of Birth

MEAL ARRANGEMENTS / DIETARY DETAILS

Lunch arrangements*: Hot school lunch Packed lunch Free School Meal

Note: it is important that parents of Early Years / Key Stage 1 pupils apply for free school meals. For information on how to apply please visit https://www.devon.gov.uk/educationandfamilies/school-information/school-meals

Please indicate any dietary needs or preferences:*

MAIN MODE OF TRANSPORT TO SCHOOL

Mode of transport* Select Car share Car/Van Cycle School bus Public bus service Train Taxi Walk

PREVIOUS SCHOOL

Please provide details of the last school attended (includes Nursery, Schools/Units or Pre-Schools/Playgroups)

School Name:

Town/City

SPECIAL EDUCATION NEEDS

Please tick if this child has Special Educational Needs (i.e. has a Statement for Special Education Needs or an Education and Health Care Plan (EHCP) or is currently being assessed)*: Yes No

If yes, please give details

USE OF IMAGES/VIDEO

From time to time, we may wish to capture video or photographs of pupils at our school to use on our Trust websites and other platforms. We may also wish to use these images in our school displays, newsletters, prospectus and other school printed media. Whilst extremely rare, there may also be opportunities where the local/national press are invited into our school and may take photographs/video which could appear in the local/national press including newspapers and television. It is our responsibility to protect and promote the safety and welfare of our pupils in our care at all times. We recognise this responsibility extends to how we manage the use of photographs and video of our pupils, and have put in place the appropriate safeguards. It is our statutory obligation to protect the privacy of individuals and families.

Do consent to us using your child’s image through their time with us for all of those reasons explained above?* Select Yes No

If you choose the ‘No’ option, we will remove your child from any of the photography/video opportunities that may be on offer.

GDPR (GENERAL DATA PROTECTION REGULATIONS)

We collect and use personal data in order to meet legal requirements and legitimate interests set out in the GDPR and UK law. In accordance, the personal data of pupils and their families is collected and used for these reasons only. We also share data with third party companies that we use for communication, learning and administration purposes. These include Seesaw, School Money, Class Charts and Smart School Websites, but this list is not exhaustive.

For more information, please read our Privacy Notice for Parents and Pupils by visiting https://www.ospreylearningtrust.co.uk/wp-content/uploads/2020/01/OLT-privacy-notice-parents-students-sept-2018.pdf If you have a concern about the way we are collecting or using your personal data, we request that you raise your concern with us in the first instance

To make a request for your personal information, or be given access to your child’s educational record, contact Scott Deeming (Data Protection Officer) via scott.deeming@teignmouth.devon.sch.uk.

PARENTAL RESPONSIBILTY

Parental responsibility means assuming all the rights, duties, powers, responsibilities and authority that a parent of a child has by law. A person with parental responsibility for a child has the right to make important decisions about their upbringing, for example: where they live, what medical treatment the child should receive, what education they receive, including which school they should attend.

Mothers and married fathers automatically have parental responsibility and will not lose it if they later get divorced. Unmarried fathers do not automatically have parental responsibility. An unmarried father can get parental responsibility by: jointly registering the birth of the child with the mother (from 1 December 2003), getting a parental responsibility agreement with the mother, getting a parental responsibility order from a court.

People other than a child's natural parents can acquire parental responsibility through: Being granted a residence order or a child arrangement order (from 2014), being appointed a guardian (by a court or by the mother or other guardian), being named in an emergency protection order (although parental responsibility in such a case is limited to taking reasonable steps to safeguard or promote the child's welfare), adopting a child

In addition, a Local Authority can acquire parental responsibility if it is named in the care order for a child. For further information please visit https://www.gov.uk/parental-rights-responsibilities/who-has-parental-responsibility

DECLARATION

I confirm the information I have given Teignmouth Primary School on this form is true and accurate.*: