New Starter Application

02392 662129/ 02392 662596
admin.np@kingsacademies.uk
Doyle Avenue Hilsea Portsmouth Hampshire PO2 9NE

PUPIL REGISTRATION FORM

Northern Parade Schools

The information you provide to the school will be used to support pupil learning and to ensure pupil safety and wellbeing. Personal information is only collected and used where it is needed by the school or the local authority for education purposes or where required by law. Further information on how we use and share pupil information can be found using the following link:

Data Protection information.

Pupil Information

Surname* Forename* Middle/other name(s)

Male or Female*MaleFemale

Date of Birth* Date of arrival in the UK (if applicable)

Ethnicity - You do not need to fill in this section if you do not want to.

I would describe my child's ethnic origin as (please choose one)

Asian/Asian British Black/Black British Mixed White Chinese

Any other ethnic backgroundI do not wish an ethnic category to be recorded

Pupil Nationality (normally on Passport or EEA identity card) Country of Birth First Language (If more than one language has been used at home, Including English, please enter the one used most).

	Please list all Schools/Nurseries/Pre-Schools attended:	Contact no:	Dates Attended: (mm/yy-mm/yy)
Text 1

Parent/Carer Information

Parent/Carer Title* Parent/Carer Surname* Parent/Carer Forename* Address: (This should be the permenant address at which the child is living with his/her parent)s)/Carer(s))* Postcode:* Home tel:* Work/Mobile tel: Email:* Relationship to child*

Other parent/carer information (please ensure you have consent to share this information)

Title* Surname* Forename* Address (if different from above) Postcode Home tel (if different from above) Mobile/Work tel:* Email: Relationship to child:*

Service Children

Please tick this box if either/both parent(s) are service personnel serving in regular HM Forces military units of all forces, or in the Armed Forces of another nation stationed in England, and exercising parental care and responsibility.

Custody and Court Orders - the school needs to know of any court orders affecting your child.

Please indicate whether any Order is in force for your child*YESNO

If YES please specify (e.g. residence, contact/access, prohibited steps) Which Court made the order Date order was made

Emergency Contacts - In an emergency, if we are unable to contact you, please give details of one or more person(s) who may be contacted on your behalf. (please ensure you have consent to share this information)

Name - Emergency contact one* Relationship to child* Telephone no:* Name - Emergency contact two Relationship to child Telephone no:

Doctor's Details

Name of GP Surgery* Telephone no:* Address* Postcode*

OTHER SERVICES - Please give details of other services that have recently been involved with your child (e.g. Social Services, Educational Psychologist, Bilingual Support, Assesment Unit etc.)

Other Services Details:

CHILD'S HEALTH - Please give details of any health concerns that the school should be made aware of. (e.g. hearing or sight problems, allergies, need for regular medication i.e. inhaler etc.)

Child's Health Details:

Other children in the family - please provide information on other children in the family.

	Name:	Relationship:	Date of Birth: (dd/mm/yy)
.

Other Information

Please tick appropriate box:

Lunchtime arrangements*HomeSchool LunchPacked Lunch

Is there any other information that you think the school should be made aware of: (e.g. language issues, religious considerations, special diet etc.)

Please read the declarations below:

I declare that the information given is to the best of my knowledge correct. I will inform the school of any changes to this information.

Name* Date*

I give consent for the information provided to be used in line with the School's privacy notice as referenced above.

Name* Date* If you would like to receive a copy of your submission, please provide your email address below.

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