Data Collection Pack

Dear Parents / Carers,

Re: Starting at Wynyard Church of England Primary School

On behalf of the Staff, Governors and the wider Wynyard Church of England Primary School community, it gives me great pleasure to welcome you and your family to our school. We are delighted that you have chosen our school as the foundation stone for your child’s educational journey and trust that the future years will be one of enjoyment and learning for your child and one that they will look fondly back upon in years.

We understand that parents may be excited and perhaps a little anxious about their child’s first days in school. Please visit our school website ( to find out more about our school toprovide you with some reassurance as we begin the journey. You as the parent have a vital role to play in your child’s education and so we begin our association with youby extending the hand of partnership to you and look forward to working with you to ensure our vision to:

‘Provide outstanding education that stretches the mind, strengthens the body, enriches the imagination, nourishes the spirit, encourages the will to do good and opens the heart to others.’

At Wynyard Church of England Primary School we are determined to ensure that we have the highest possible standards for our children. Through our personalised approach and effective use of assessment we will develop a detailed knowledge of each child and work with them to enable them to flourish. We are fortunate to have extremely enthusiastic staff, who are committed to high standards of education and behaviour. The school is keen to create a real sense of a family and community atmosphere that will give every child a secure and happy environment in which to learn and so make progress academically, emotionally and socially.

Included within this pack are a number of forms that we need you to complete and return to the school. This information is vital to ensure a complete picture of your child and so we know who to contact in the event of an emergency. Your contact information will also be used to send letters and important information to you via text and email. This information will be entered onto the school’s Management Information System where it will be stored in accordance with Data Protection legislation.This information will be stored for your child’s time in school, however, if you wish to update any information or withdraw permissions please contact the school.

In the data pack we have included the following information / forms for completion:

  • Data Collection Sheets
  • Parental consent form for off-site activities
  • Acceptable Internet Use Agreement
  • Use digital images/videos consent form
  • Free School Meals and Pupil Premium
  • Breakfast Club & Tea Club consent form
  • Home, school agreement

As we begin this journey of partnership, I would like to reiterate that our work as teachers begins by building upon the numerous qualities and skills which you have fostered in your child at home; our aim is to encourage children to learn to the best of their abilities, especially in the essential core skills whilst still providing plenty of opportunity for broadening their experience in a wide range of other aspects of learning.

As well as encouraging intellectual and academic growth, we shall work with you to develop in all our Wynyard Church of England Primary children an independence of outlook, which will help them to solve problems and give reasoned opinions. Our hope is that, by working together as parents and staff, we will ensure your child has the best possible opportunity to achieve their full potential. As Headteacher, I promise to provide a first-class education and I look forward to welcoming you to our school and am truly looking forward to a long, happy and productive partnership between children, parents and staff.

Yours Sincerely,

Mr R Ward

Head Teacher

Data Collection Sheet

Please complete all sections

PUPIL INFORMATION
Surname: / First Names:
Gender: / Date of Birth:
Home Address:
Phone No.: / Mobile No.:
Nationality: / Religion:
Ethnicity:
Please study the list below and tick one box only to indicate the ethnic background of the pupil or child.
White
● / ( ) / British
● / ( ) / Irish
● / ( ) / Gypsy
● / ( ) / Roma (European Roma)
• / ( ) / Traveller (including English Traveller, Irish Traveller, Scottish or Welsh Travellers)
● / ( ) / Any other White background, please write in :
( including Polish, Turkish and Turkish Cypriot, Eastern/Western European, Armenian, Russian,
White North American, White South Africans etc.)
Mixed
● / ( ) / White and Black Caribbean
● / ( ) / White and Black African
● / ( ) / White and South Asian
● / ( ) / Any other mixed background (including White background & Black North American,
White background & Chinese, Asian & Black background, Chinese & Black background etc.)
Asian or Asian British
● / ( ) / Indian
● / ( ) / Pakistani
● / ( ) / Bangladeshi
● / ( ) / Any other South Asian background (including Sri Lankan, Nepalese, African Asians etc.)
Black or Black British
● / ( ) / Caribbean
● / ( ) / African (including sub-Saharan Africa)
● / ( ) / Any other Black background (Black North American, Black European etc.)
Chinese or Chinese British
● / ( ) / (including Malaysian Chinese, Singaporean Chinese etc.)
Any other ethnic background
● / ( ) / Latin/South/Central American
● / ( ) / Iranian, Iraqi, Saudi, Kuwaiti, Palestinian, Jordanian etc.
● / ( ) / Afghani, Kurdish from Turkey/ Iraq/ Iran
● / ( ) / North African – Moroccan, Algerian, Tunisian, Libyan, Egyptian
● / ( ) / Japanese, Thai, Vietnamese, Filipino, Malaysian other than Malaysian Chinese etc.
● / ( ) / and Any Other Ethnic background
Previous school or nursery attended:
PARENT/CARER INFORMATION
Notes:
1. A child’s parent/carer is defined as his/her natural parent and any other person who is his/her carer, has parental responsibility for, or is liable to maintain him/her.
2. If an estranged parent is to be refused information about or access to a child, Wynyard Church of England Primary School must have sight of relevant court orders.
3. The mobile number for the main carer will be used to contact parents by school text messaging service.
4. When the school needs to contact a child’s parent/carer, we will make contact as per chosen priority below in the first instance.
1. Name / Relationship
Address (if different from home address) / Phone No.
Mobile No.
Place of Work:
(If applicable) / Occupation:
(If applicable)
Email:
2. Name / Relationship
Address (if different from home address) / Phone No.
Mobile No.
Place of Work:
(If applicable) / Occupation:
(If applicable)
Email:
EMERGENCY CONTACTS
Please provide details of emergency contacts who will be contacted to collect your child from school if you are unavailable.
Name / Relationship:
Notes: / Phone No.:
Mobile No.:
Name / Relationship:
Notes: / Phone No.:
Mobile No.:
Name / Relationship:
Notes: / Phone No.:
Mobile No.:
COLLECTION AUTHORISATION LIST
Name of authorised
person and relationship to your child(ren) / 1.
2.
3.
4.
FAMILY
Sibling Names & Ages
Any family circumstances which we should be aware of: for example, adoption or medical conditions.
DETAILS OF DOCTOR
Notes:
1. It is your responsibility to inform the school if your child develops any contagious or infectious disease(s).
2. Parents/carers must contact Wynyard Church of England Primary School to discuss dispensing medication and must sign a permission form.
3. Please do not assume that Wynyard Primary School is aware of any health issues relating to your child unless they are directly informed by the parent/carer.
GP:
Address:
Telephone No.:
HEALTH INFORMATION
Special Dietary Needs:
Known allergies:
Are there any medical/health issues we should be aware of?
Has your child ever been assessed by a…
Educational Psychologist?
Physiotherapist?
Occupational therapist?
Speech and language therapist?
If so, please give details.
SCHOOL TRIP APPROVAL
Throughout the school year children will be involved in learning experiences which take them out of the school premises into the local environment. These include:
  • school organised off-site activities before, during and after the school day;
  • off-site sporting fixtures outside of the school day.
The school will inform you of any specific places/venues which will be used. In exceptional circumstances, a
further consent may be requested but the school will send parents information about each trip or off-site
activity before it takes place.
I give permission for my child to participate in the activities as above whilst in attendance at Wynyard Church of England Primary School.
Please delete appropriately:
Yes No

Parent/Carer Acceptable Use Agreement

Digital technologies have become integral to the lives of children and young people, both within schools and outside school. These technologies provide powerful tools, which open up new opportunities for everyone. They can stimulate discussion, promote creativity and stimulate awareness of context to promote effective learning. Pupils should have an entitlement to safe internet access at all times.

This Acceptable Use Policy is intended to ensure:

•that pupils will be responsible users and stay safe while using the internet and other communications technologies for educational, personal and recreational use.

•that school systems and users are protected from accidental or deliberate misuse that could put the security of the systems and users at risk.

•that parents and carers are aware of the importance of e-safety and are involved in the education and guidance of pupils with regard to their on-line behaviour.

The school will try to ensure that pupils will have good access to digital technologies to enhance their learning and will, in return, expect the pupils to agree to be responsible users. A copy of the Pupil Acceptable Use Policies for each Key Stage can be viewed on our school website, so that parents/carers will be aware of the school expectations of the pupils in their care.

Parents are requested to sign the permission form below to show their support of the school in this important aspect of the school’s work.

Permission Form

Parent/Carers NamePupil Name

As the parent/carer of the above pupil, I give permission for my son/daughter to have access to the internet and to ICT systems at school.

I know that my son/daughter will sign an Acceptable Use Agreement and has received, or will receive, e-safety education to help them understand the importance of safe use of technology and the internet – both in and out of school.

I understand that the school will take every reasonable precaution, including monitoring and filtering systems, to ensure that pupils will be safe when they use the internet and ICT systems. I also understand that the school cannot ultimately be held responsible for the nature and content of materials accessed on the internet and using mobile technologies.

I understand that my son’s/daughter’s activity on the ICT systems will be monitored and that the school will contact me if they have concerns about any possible breaches of the Acceptable Use Policy.

I will encourage my child to adopt safe use of the internet and digital technologies at home and will inform the school if I have concerns over my child’s e-safety.

SignedDate

Use of Digital/Video Images

The use of digital/video images plays an important part in learning activities. Pupils and members of staff may use digital cameras to record evidence of activities in lessons and out of school. These images may then be used in presentations in subsequent lessons.

Images may also be used to celebrate success through their publication in newsletters, on the school website or social media pages, and occasionally in the public media.

The school will comply with the Data Protection Act and request parents/carers permission before taking images of members of the school. We will also ensure that when images are published that the pupil’s full name is not used to identify them.

In accordance with guidance from the Information Commissioner’s Office, parents/carers are welcome to take videos and digital images of their children at school events for their own personal use (as such use in not covered by the Data Protection Act). Please be aware, not all parents may be happy for images of their children to be used on social media. We recommend that digital/video images taken of pupils in school are not shared on social media.

Parents/carers are requested to sign the permission form below to allow the school to take and use images of their children and for the parents/carers to agree to their use as stated.

If you are unhappy about your child’s image being captured for the purposes outlined above, there will be times when s/he will be asked to come out of a group or class picture, in order that the image can be taken.Please note that your approval can be withdrawn by contacting the school in writing.

Digital/Video Images Permission Form

Parent / Carers Name

Pupil Name

As the parent/carer of the above pupil, I give permission for photographs, film clips and audio recordings of me/my child be taken while at Wynyard Church of England Primary School. I understand that the images will only be used to support learning activities or in publicity that reasonably celebrates success and promotes the work of the school.

I agree that if I take digital or video images at, or of, school events which include images of children, other than my own, I will abide by these guidelines in my use of these images.

Signed

Date

FREE SCHOOL MEALS AND PUPIL PREMIUM

Although every child from Reception to Year 2 will now receive a free school lunchtime meal, some pupils may be eligible for pupil/service premium. The pupil and service premium gives schools extra funding to support children whose families have been in receipt of certain benefits at any time since their child was four or have parents in the armed forces. If you believe that your child is eligible for this additional support, please complete the form below and return to school as soon as possible.

ABOUT YOUR CHILD/CHILDREN

Child’s Last Name / Child’s First Name / Child’s Date of Birth / Name of School
D D / M M / Y Y Y Y
D D / M M / Y Y Y Y
D D / M M / Y Y Y Y
D D / M M / Y Y Y Y

PARENT/GUARDIAN DETAILS

Parent/Guardian
Last name
First Name
Date of Birth / D D / M M / Y Y Y Y
National Insurance Number*
National Asylum Support Service (NASS) Number* / / / /
Daytime Telephone Number
Mobile Number
Email Address
Address / Postcode:

* Complete as appropriate

FAMILY INCOME AND BENEFIT DETAILS

Is your joint family income over £16,190 per year? (Please place an X in the appropriate box).

YesNo

If you have ticked yes, you do not need to complete the next section and can go straight to the declaration at the end of the form.

If you ticked no, please place an X in this box if you[1] are in receipt of any of the benefits listed below:

  • Income Support
  • Income-based Jobseekers Allowance
  • Income-related Employment and Support Allowance
  • Support from NASS (National Asylum Support Service) under part 6 of the Immigration and Asylum Act 1999
  • the guarantee element of State Pension Credit
  • Child Tax Credit (with no Working Tax Credit) with an annual income of no more than £16,190
  • Working Tax Credit run-on
  • Universal Credit.

Please place an X in this box if you are not sure whether your joint family income is over £16,190, or whether you are in receipt of one of the benefits listed above, but you would still like us to check whether your child is eligible for free school meals:

DECLARATION

The information I have given on this form is complete and accurate. I understand that my personal information is held securely and will be used only for school purposes. I agree to Wynyard Church of England Primary School using this information to process my application for free school meals. I also agree to notify the school in writing of any change in my family’s financial circumstances as set out in this form.

Signature of parent/guardian: ………………………………………………………….

Date:……………………….

BREAKFAST & TEA CLUB

If you are interested in your child attending Breakfast Club & Tea Club, could you please complete the consent form.

BREAKFAST & TEA CLUB-PARENTAL CONSENT FORM
School / Wynyard Church of England Primary School
Activities / Breakfast & Tea Club
Pupils Name / Date of birth
2. Medication Consent
If required, I agree to my son/daughter receiving medication, as instructed, in line with normal school policy. / YES / NO
3. Signature of parent / guardian.
I have received and read the information the school has provided for me outlining the arrangements for Breakfast & Tea Club. I agree to those arrangements and am therefore willing to allow my child to attend.
Name (capitals) / Relationship to young person
Signature / Date
Emergency contact number –

Home and School Agreement

At school we will:

  • Care for the safety and happiness of all children and adults,
  • Achieve the highest standards of work and behaviour,
  • Provide a balanced curriculum and meet the individual needs of children,
  • Keep parents informed about school matters and children’s progress,
  • Be open, welcoming and offer opportunities for parents to be involved in school life.

SignedMr R. Ward (Head Teacher)

As a pupil I will:

  • Do as well as I can in class and with my homework,
  • Be polite, caring and helpful to others,
  • Take good care of my school and everything in it.

Signed………………………………………

As a parent or parents, I or we will:

  • Make sure that our child or children arrive at school on time,
  • Make sure attendance is good and that school is informed of any absence,
  • Keep school informed of any problems,
  • Attend meetings to discuss progress,
  • Support the school’s policies,
  • Support homework activities.

Signed …………………… ………………….