South Molton United

Church of England

Primary School

Parents Consent and Pupil Information Booklet

Dear Parent/Carer

We have prepared this booklet for all new pupils of the school so we can keep together all parent

consents in one place. We are not able to allow pupils to use the schools network without parental

permission.

Please read through and complete ALL sections of this booklet and return to the School office.

During Year 1 to Year 6 you will receive a data form during the autumn term containing all the details

we hold on your child based on the information you provide in this booklet. We ask that you check

these forms and come back to us if any information we hold is incorrect.

Exeter Road

South Molton

Devon EX36 4EN

www.smups.devon.sch.uk

Tel 01769 572656

Email:- admin@smups.devon.sch.uk

To be completed by the Parent/GuardianTo be completed by the Parent/Guardian

Name of Pupil:Name of Pupil: ____________________________________________________________________ DOB:DOB: ____________________________________________________________________

Address of pupil:Address of pupil: ________________________________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________ Postcode:Postcode: __________________________________________________

EthnicityEthnicity __________________________________________________________________ Religious AffiliationReligious Affiliation ________________________________________________________

(optional)(optional)

Country of Birth __________________________ Pupil Nationality Country of Birth __________________________ Pupil Nationality ______________________________________________________________

((optionaloptional))

I have signed all sections to show I have read the information. I have signed all sections to show I have read the information.

I have either given or withheld my permission on each session as indicated.I have either given or withheld my permission on each session as indicated.

Signed:Signed: __________________________________________________________________________________ Date:Date:______________________________________________________________________

PLEASE REMEMBER TO NOTIFY US OF ANY CHANGES WHEN THEY OCCURPLEASE REMEMBER TO NOTIFY US OF ANY CHANGES WHEN THEY OCCUR

Section 1Section 1

These details are updated annually. It is very important that we hold up to date personal and medical

records for your child. We would be grateful if all sections in this booklet can be completed and

returned to the school office as soon as possible

Name of Pupil __________________________________________________________________________

Name of Parent/Guardian _______________________________________ Title ___________ Mr/Mrs etc

Parental responsibility for this child? YES NO

Contact telephone number (home) ________________________________________________________

Work __________________________________________ Mobile ________________________________

Email _________________________________________________________________________________

Emergency contact details

1st Contact name ________________________________________________________________________

Relationship to child _____________________________________________________________________

Phone No's home _____________________ Work ____________________ Mobile _________________

2nd Contact name _______________________________________________________________________

Relationship to child _____________________________________________________________________

Phone No's home _____________________ Work ____________________ Mobile _________________

3rd Contact name________________________________________________________________________

Relationship to child _____________________________________________________________________

Phone No's home _____________________ Work ____________________ Mobile _________________

4th Contact name _______________________________________________________________________

Relationship to child _____________________________________________________________________

Phone No's home _____________________ Work ____________________ Mobile _________________

Signed _______________________________________ date _____________________________________

Section 2—Contacts

Medical/Allergy/Child Protection Information

My Child: Please tick relevant box and give details

Has no medical condition which I am aware of

Has a statement of special needs (if ticked please give details below)

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

Is involved with an agency (please give details including contact name, address

and telephone number) ____________________________________________________

__________________________________________________________________________

__________________________________________________________________________

Has the following medical condition/s which require/s treatment as detailed

below.

__________________________________________________________________________

__________________________________________________________________________

I give the school permission to give/arrange emergency 1st aid treatment

Special Dietary requirements

Does your child have any special dietary requirement/allergies?

If so, please give details __________________________________________________________________

Doctor’s Surgery

Please give name and telephone number of your doctors surgery/practice

Name of surgery _________________________________ Telephone No __________________________

If your child needs medication to be administered during the school day, please complete a form from

the office according to school policy.

Signature of Parent/Guardian _______________________________ Date ______________________

Section 3—Medical

Section 4—Weather

Bad weather arrangements for all pupils

It may be necessary during the winter season to call in school buses early. In some cases we may

need to close the school completely and send all pupils home. In this case we need to know that

you have provision to accept them at home, or have an alternative arrangement, or wish them to

remain in school and to be picked up at 3.00pm Please indicate by ticking the appropriate box:

Signature of Parents/Guardian _______________________________________________________

I will be able to accept my child at home if sent home early.

I have made alternative arrangements for my child to be looked after when sent

Section 5—Educational Trips

Consent for routine local activities away from school

You will be aware of the concern for the safety of pupils participating in activities away from school

and in school sports and physical education. Some activities will be within walking distance of the

school and others will require the use of transport. This concern has made Education Authorities

more alert to the need for parental consent for off-site activities. The standard consent form below

must be completed so that we have your consent for any routine activities that arise. Routine off-

site activities include:

Field work and visits to South Molton

Visits to other schools and colleges

Sports, music and games fixtures at other sites

Voluntary and community events in South Molton

Days out to places of interest

I give*/do not give permission for my son/daughter to take part in any trips taking place within the

school day. (*please delete as appropriate)

Signed ____________________________________________________________ Parent/Guardian

In order to communicate with parents/carers more efficiently, quickly, reliably and economically we use Schoolcomms for texts and emails.

This means if you have access to an email account we can send letters, newsletters, general parental information to you via email. Of course if you do not use email we can still communicate with you in the traditional paper format.

We also communicate via text messaging, which is a short message sent directly to the mobile phone number listed as first contact.

You will:-

Receive letters more reliably and promptly, no need to rely on your child for delivery

See letters in your inbox like any other mail and be able to reply

Still have paper format copy if you don’t have an email account

Receive a short message if we need to update or remind you of events.

We can:-

Save money on admin time, printing and paper

Contact you urgently when necessary

The school will use the mobile phone and email address that you provide in Section 2.

If you change your contact details please let the school know as soon as possible

Schoolcomms is registered with the data protection act, so all information provided will be kept private and not passed on to any other organisation. Your details will only be used for the purpose of the school business. You will not receive any SPAM or marketing material.

Schoolcomms is also our on-line payment company. See the link on our website to register to pay for trips, dinners and clubs online.

Communication

Swimming Lessons

The school, under the current curriculum has a duty to ensure all children can swim 25 meters by

the time they reach Year 6. To do this we take classes swimming throughout the year to South

Molton Swimming Pool. These trips take place within the school day and we advise parents of the

dates and times in advance. To enable us to take your child without asking permission each week,

please sign and *delete where applicable below.

*I give/do not give permission for my son/daughter to attend swimming lessons at South Molton

Swimming Pool

Signed: _______________________________________________________ Parent/Guardian

Section 6—Swimming

Section 7—Breakfast and Afterschool Clubs

Breakfast and Afterschool Club

The school runs a before and after school club. The Breakfast club starts at 8am until school starts

at a cost of £2.00 per session, and the afterschool club runs from the end of school until 5.30pm

prompt at a cost of £5.50 with a reduction to £3.00 for and additional siblings per session.

Please could you indicate below if you would be interested in using this service.

If yes which club would you want to use?

Which days would you like your child to attend?

Yes No

Breakfast Afterschool

Tues Wed Thurs Fri Mon

One of the main learning points in using ICT is how to be a responsible user. The school runs workshop sessions for parents and children on how to stay safe on the internet. The school has an e-safety policy which is available to read on the schools website and is linked to the agreement below. 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. Young people should have an entitlement to safe internet access at all times.

This Acceptable Use Policy is intended to ensure: That young people 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 young people with regard to their on-line behaviour.

The school will try to ensure that pupils 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 Policy is attached to this permission form, so that parents / carers will be aware of the school expectations of the young people 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 / Carer’s Name Pupil 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. For KS2 children (Age 7-11): I know that my son / daughter has signed 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. Reception and KS1 children (Age 4 –6) will receive e-safety guidance within school. I understand that the school will take every reasonable precaution, including monitoring and filtering systems, to ensure that young people 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. Signed ________________________________________________ Date ______________________________

Section 8 - ICT

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/facebook pages and on occasions 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 young people cannot be identified by the use of their names. *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). To respect everyones privacy and in some cases protection, these images should not be published / made publicly available on social networking sites, nor should parents / carers comment on any activities involving other pupils in the digital / video images. 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 Digital / Video Images Permission Form

I give permission for my child to be filmed and recorded for practical

assessment

I give permission for photographs of my child to be placed on the plasma

screens, these images will only be displayed within the school

I give permission for photos of my child to be displayed on the school’s website

and Facebook page. (names will not be published with photos)

I give permission for photos of my child to be used in the press and on the

schools newsletter for achievement and publicity purposes

I give permission for the school to film/record my child at school concerts, plays

and on residential trips and for DVD’s to be on general release

I give permission for pictures of work relating to my son/daughter to be

published on the school website (names and photos will not be displayed

together)

Parent / Carer’s Name __________________________________________________________________________ Pupil Name ____________________________________________________________________________________ As the parent / carer of the above pupil, I agree to the school taking and using digital / video images of my child / children. 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 the guidelines above* in my use of these images.

Signed ____________________________________________________ Date ______________________________

Section 9 - Publicity

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Section 10 - Home School Agreement

The School Standards and Framework Act 1998 requires all maintained schools to adopt a home-school agreement and parental declaration from 1 September 1999. The Act says that : a home-school agreement is a statement explaining: the school’s aims and values; the school’s responsibilities towards its pupils; the responsibilities of the pupil’s parents; and what the school expects of its pupils. The draft agreement was approved by Governors as a basis for consultation at a full Governors’ meeting on 8th July 1999 and reviewed then on an annual basis.

AIMS AND VALUES OF OUR SCHOOL

This statement of aims and values assumes as its foundation the parallel statement in the School Prospectus and on our school website.

Our Mission Statement:

South Molton United Church of England Primary School seeks to develop the full potential of our children in mind, body and spirit, through high quality education in a caring Christian community.

The standard of education we aim for is one that will enable all children to achieve their potential and reach the highest standards of personal achievement. All children have the right to a balanced and broadly-based curriculum. The needs of all children are monitored and provision made where special needs exist to support children as appropriate. The school sets rigorous but realistic targets for performance in the statutory National Curriculum assessments (SATs).

To make all this possible we will need co-operation and teamwork between all members of the School Community – teaching and non-teaching staff, pupils, parents and governors.

THE SCHOOL WILL:

Treat children as individuals, respecting their rights, values and beliefs.

Promote good relationships and a sense of belonging.

Provide a well-ordered environment in which high quality teaching and learning can take place.

Offer equal opportunities in all aspects of school life and ensure that the school’s policies with regard to Equal Opportunities, Race, Disability and Gender inform practice at all times.

Provide a challenging and stimulating programme of study in accordance with the National Curriculum, ensuring that learning is progressive and continuous throughout a child’s school career.

Take all possible precautions to provide a safe e-learning environment, and inform parents of a child’s unsafe or irresponsible use of e-technology at school.

Recognise and maintain an awareness of the needs of each individual child according to her/his ability and aptitude.

Keep parents informed of their child’s progress and individual targets by reports, parents’ evenings and home-school diaries.

Encourage parents to visit school and keep them up-to-date with school news by regular newsletters.

Inform parents about what their children can expect to be learning each term.

Promote good behaviour and attitudes to learning in school and maintain the Behaviour Policy.

Set out a clear homework policy and inform parents what level and type of homework is expected of their children at each stage of their school career.

Alert parents as soon as possible when their child is absent.

PUPILS WILL:

Attend school regularly and on time (8.30 am start).

Attend school in good health maintained by adequate diet, exercise and sleep.

Be organised – bringing necessary kit, taking letters home promptly and returning homework regularly.

Behave in an orderly way with respect for other people.

Take and develop responsibility for their own learning.

PARENTS WILL:

Make sure their children attend school on time and every day during term-time.

Notify the school promptly if their child cannot attend for any reason.

Ensure their children attend school in good health and after a proper amount of sleep.

Be realistic about their children’s abilities and offer encouragement and praise.

Make good use of information on their children’s progress and use parents’ meetings with teachers for t his purpose to ensure that they can help in their children’s learning and achieving their targets.

Ensure early contact with school to discuss matters affecting a child’s happiness, progress and behaviour, using the home-school diary as appropriate.

Support their children in assigned homework, and have the right to be consulted over changes or developments in the school’s homework policy.

Encourage their children only to use age-appropriate and safe internet and digital technologies at home, and inform school of any concerns about e-safety.

Support the school in establishing good behaviour and discipline, and work with the school to eliminate bullying.

Parents of pupils registered at the school on and after the 1st September 2013 are invited to sign the following parental declaration:-

I/we take note of the aims and values of South Molton United Church of England Primary School and its responsibilities and I/we accept the school’s expectations of its pupils and responsibilities of parent as set out above.

Signed ___________________________________________________ Date ________________________

THE ROLE OF GOVERNORS:

Whilst not specifically part of the agreement between parents and the school, the Governors have an important part to play in helping the school to define and meet its aims and values. Accordingly the Governors pledge themselves to:

Support the school staff, pupils and parents in fulfilling their responsibilities and as contained in this agreement.

Meet regularly for their work as Governors.

Undergo appropriate training for their work as Governors.

Give the highest standard of service in meeting their own duties and responsibilities as required by law. These duties are indicated in various places but most specifically on the Department of Education website.

Privacy Notices: Information about pupils in schools, alternative provision, pupil referral units and children in early years settings

Data Protection Act 1998: How we use your information

We process personal information relating to our pupils and may receive information about them from their previous school or college, local authority, the Department for Education (DfE) and the Learning Records Service. We hold this personal data to:

support our pupils’ learning

monitor and report on their progress

provide appropriate pastoral care; and assess the quality of our services

Information about our pupils that we hold will include their contact details, national curriculum assessment results, attendance information, any exclusion information, where they go after they leave us and personal characteristics such as their ethnic group, any special educational needs they may have as well as relevant medical information. For pupils enrolling for post 14 qualifications, the Learning Records Service will give us the unique learner number (ULN) and may also give us details about your learning or qualifications.

In addition once our pupils reach the age of 13, the law requires us to pass on certain information about them to Careers South West who have responsibilities in relation to the education or training of 13-19 year olds. We provide them with these pupils’ names and addresses, dates of birth, name(s)/address(es) of their parent(s)/guardian(s) and any other information relevant to their role. We may also share certain personal data relating to children aged 16 and over with post-16 education and training providers in order to secure appropriate services for them.

A parent/guardian can ask that no information apart from their child’s name, address and date of birth be passed to Careers South West by informing Hannah Cumings. This right is transferred to the child once he/she reaches the age 16. For more information about services for young people, please go to the following websites

Devon County Council: https://new.devon.gov.uk/educationandfamilies/school-information/post-16-education

Careers South West: www.cswgroup.co.uk.

We will not give information about you to anyone without your consent unless the law and our policies allow us to.

We are required, by law, to pass certain information about our pupils to our local authority (LA) and the Department for Education (DfE).

If you need more information about how our local authority and/or DfE collect and use your information, please visit:

our local authority at www.devon.gov.uk/j4s-privacynotice or

the DfE website at https://www.gov.uk/data-protection-how-we-collect-and-share-research-data

If you want to receive a copy of the information about you that we hold, please contact: the School Office

Section 11- Privacy Notice

Child’s previous school: ................................................................................................................................

Address ...........................................................................................................................................................

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Tel No: .............................................................................................................................................................

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siblings

Name: & D.O.B. .............................................................................................................................................

Name &..D.O.B ..............................................................................................................................................

.Name & D.O.B. ……………………………………………………………………………………………………………………………………..

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Any Additional Information