Tel: 01980 623407 E-mail: admin@stonehenge.wilts.sch.uk www.stonehenge.wilts.sch.uk Headteacher Mr. N. D. Roper B.Sc., NPQH School Business Manager Mrs. C. Busby B.A. (Hons), ADSBM

HOLDERS ROAD

AMESBURY WILTSHIRE SP4 7PW

THE STONEHENGE SCHOOL

Summer 2020

Dear Parents/Carers Please could you complete the Admission Form for your child. In particular could you pay close attention to the following:- Please fill in as many contacts as possible – family, neighbours etc. – together with your

home and work telephone numbers, as well as any mobile phones you might have. This is very important as it will enable us to do our best to contact you in the event of an emergency. The ORDER of the contacts – this is the order in which we will contact people in the event of your child being sick, or in an emergency (i.e. we will ‘phone in the order in which they appear on your sheet).

Please note that the mobile number and email address for Contact Priority 1 will be used for

our text and email communications system. It is important that you provide separate email addresses for each parent.

Please note if there is a court order, stating the court order reference number and details that we need to be aware of.

Please note if either parent is a member of the Forces.

Please fill in Doctor’s name and any medical conditions your child may suffer from. Please inform the school as soon as possible via email or phone if any personal details change, addresses, phone numbers etc.

We kindly ask that you return this form well in advance of your child starting with us as forms cannot be processed on the day your child arrives. Yours sincerely Mrs T Roberts Assistant Headteacher

HOLDERS ROAD

AMESBURY WILTSHIRE SP4 7PW

THE STONEHENGE SCHOOL CONFIDENTIAL These details will be kept on a Student Database in accordance with the following regulations laid down by The Education (Information about pupils) (England) Regulations 2013

The Education (Pupil Registration) (England) Regulations 2006 and subsequent amendments of 2010/2011/2013

Section 100 Children and Families Act 2014 and DfE Supporting pupils at school with medical conditions (2014)

Equality Act (2010)

Section 175 of the Education Act

Keeping Children Safe in Education (2016)

Working together to safeguard children (March 2015)

SEN Children and Families Act 2014

Education Acts 1966 & 2006

Freedom of Information Act (2000)

and General Data Protection Regulations (2016 and updated May 2018)

It is important that these details are accurate and up-to-date. Please inform the school immediately of any changes to these details. You can log into Insight to look at the contact information we hold for you and you can update your details there if needed.

PLEASE PRINT CLEARLY

Student Details Surname:

Legal Surname:

Forename:

Middle Name(s)

Date of Birth:

Gender:

Address: Post Code:

Office Use Only:

Initials/Date of Entry

Please give details of ALL persons who have PARENTAL RESPONSIBILITY (please see attached definitions in law of Parental Responsibility) and anyone else who may be contacted. Place them in the order to be contacted in an emergency. Changes to your contact details (email and main mobile number) can only be made in person via our Reception. Contact 1. Contact 2. Mr/Mrs/Ms (Delete as applicable) First Name: Surname:

Mr/Mrs/Ms (Delete as applicable) First Name: Surname:

Parental Responsibility Yes No Parental Responsibility Yes No Relationship to child:

Relationship to child:

Home Address: Post Code:

Home Address: Post Code:

Mobile: School comm messages will be sent to this mobile number

Mobile:

Home Telephone:

Home Telephone:

Work Telephone: Occupation/Place of Work:

Work Telephone: Occupation/Place of Work:

E-mail address: School Emails will be sent to this email address.

This address will also be used for our Insight system

and MUST belong to the person named as contact 1.

E-mail address*: * please note that this email address must not be the

same as Contact 1

Contact 3. Contact 4. Mr/Mrs/Ms (Delete as applicable) First Name: Surname:

Mr/Mrs/Ms (Delete as applicable) First Name: Surname:

Parental Responsibility Yes No Parental Responsibility Yes No Relationship to child:

Relationship to child:

Home Address: Post Code:

Home Address: Post Code:

Mobile:

Mobile:

Home Telephone:

Home Telephone:

Work Telephone: Occupation/Place of Work:

Work Telephone: Occupation/Place of Work:

E-mail address:

E-mail address:

Family Links Name(s) and Dates of Birth of other children in the family who have or currently attend The Stonehenge School. Meal Arrangements Do you receive Free School Meals?

Yes No

If you are eligible for a Free School Meal, please ask for a form from the Office. Please register for Free School Meals even if your child does not wish to take a meal as the school gets extra funding for eligible students.

Medical Information

Dietary Needs: Please detail any dietary needs for your child including food allergies suspected or known about: [ ] Artificial colouring allergy [ ] Halal/Kosher foods only

[ ] Gluten Free [ ] No Pork

[ ] No Dairy Produce [ ] Seafood allergy

[ ] No Nuts of any type/quantity [ ] Vegetarian

Medical Practice/Doctor’s Surgery: Address: Telephone Number: Doctor’s Name:

Medication:

Does your child take any medication, use any physical aids or require any special diet: Yes No If Yes, please provided details:

Medical Conditions/Special Education Needs:

Please indicate if your child has any long-standing illnesses, health problems or disabilities

[ ] ADD

[ ] ADHD

[ ] Allergy- if your child carries an Epi-Pen or Jext

Pen you must state this and provide TWO spare pens for

emergency use in school in addition to a Wiltshire Allergy

Action Plan.

My child does/does not carry an Epi-Pen/Jext Pen

Please list all known allergies below:-

[ ] Arthritis

[ ] Asthma*

(*A separate Emergency Consent Form will be sent to you)

[ ] Autism or Asperger’s Syndrome

[ ] Cerebral Palsy

[ ] Chronic Fatigue Syndrome

[ ] Colour Blindness

[ ] Cystic Fibrosis

[ ] Depression/Anxiety

[ ] Diabetes Type 1

[ ] Diabetes Type 2

[ ] Dyslexia

[ ] Dyspraxia

[ ] Eating Disorder

[ ] Eczema

[ ] Epilepsy, fits or seizures. If your child has been

prescribed Buccolam (Buccal) Midazolam you must

inform the school BEFORE they start with us and provide a

Wiltshire Emergency Action Plan.

My child has/has not been prescribed Buccolam

(Buccal) Midazolam

[ ] Eye Condition

[ ] Hayfever

[ ] Hearing Loss

[ ] Heart Condition

[ ] IBS / Digestion

[ ] Kidney Condition

[ ] M.E

[ ] Migraine/Headaches

[ ] Multiple Sclerosis

[ ] Muscles/Joints/Bones/Hypermobility

[ ] Nose Bleeds

[ ] Prohibited Foods

[ ] Skin Condition

[ ] SEMH (social emotional & mental health)

[ ] Stomach Condition

[ ] Tics

[ ] Tourettes

[ ] Vision Loss

[ ] Other – please provide details below:

Please note: In years 8 and 9 your child will be vaccinated in accordance with the national vaccination

scheme. VirginCare on behalf of Wiltshire Children’s Community Services administer this scheme. Your child’s name, date of birth and tutor group is shared with ViginCare under GDPR rules in the interests of public

health. Does your child see a medical professional? (Paediatrician, Psychologist, Speech/language theraptist, CAMHS) If Yes, please provided details:

Yes No

Is your child on the SEN register? If YES, do they have SEN support or have an EHCP - please tick ONE option

Yes No

[ ] SEN Support [ ] EHCP

Does your child or family have a CAF (Common Access Framework)?

Yes No

Ethnic/Cultural

Ethnicity:

[ ] Any other Black background [ ] Any other mixed background [ ] Bangladeshi [ ] Black - African [ ] Black - Caribbean [ ] Chinese [ ] Filipino [ ] Gypsy [ ] Gypsy/Roma [ ] Indian

[ ] Japanese [ ] Moroccan [ ] Nepali [ ] Other Asian [ ] Other ethnic group [ ] Other Gypsy/ Roma [ ] Pakistani [ ] Refused [ ] Roma [ ] Thai

[ ] Traveller of Irish Heritage [ ] Turkish/ Turkish Cypriot [ ] White British [ ] White Irish [ ] White & Asian [ ] White & Black African [ ] White & Black Caribbean [ ] White Eastern European [ ] White Other [ ] White Western European

Please tick this box if you do not wish any ethnic background category to be recorded [ ]

Religion:

[ ] Buddhist [ ] Christian [ ] Hindu [ ] Jewish

[ ] Muslim [ ] No Religion [ ] Other Religion

[ ] Refused [ ] Roman Catholic [ ] Sikh

Language: Home Language – this is the language your child uses at home or in the community

[ ] Akan/Twi-Fante [ ] Albanian/Shqip [ ] Amharic [ ] Arabic [ ] Bengali [ ] Bengali (Sylheti) [ ] British Sign Language [ ] Caribbean Creole English [ ] Caribbean Creole French [ ] Chinese [ ] Cornish [ ] Danish [ ] Dutch/Flemish [ ] English [ ] Finnish [ ] French [ ] Gaelic (Scotland) [ ] Gaelic/Irish

[ ] German [ ] Greek [ ] Gujarati [ ] Hebrew [ ] Hindi [ ] Igbo [ ] Italian [ ] Japanese [ ] Korean [ ] Kurdish [ ] Lingala [ ] Luganda [ ] Manx Gaelic [ ] Norwegian [ ] Panjabi [ ] Pashto/Pakhto [ ] Persian/Farsi [ ] Polish

[ ] Portuguese [ ] Romany/English Romanes [ ] Russian [ ] Serbian/Croatian/Bosnian [ ] Sinhala [ ] Slovakian [ ] Somali [ ] Spanish [ ] Swahili/Kiswahili [ ] Swedish [ ] Tagalog/Filipino [ ] Tamil [ ] Turkish [ ] Urdu [ ] Vietnamese [ ] Welsh/Cymraeg [ ] Yoruba [ ] Other ______________

First Language – the language to which the pupil was first exposed in early childhood. Is English the pupils’ first language? Yes No if No please provide _________________________

Please tick this box if you do not wish a first language to be recorded [ ]

Welfare Is the pupil a Young Carer? If Yes, please state the relationship of the pupil to the carer _________________ Is the pupil in Care?

Yes No Yes No

If your child was adopted from care or left care under a SGO/RO/CAO, please make us aware below. Please note that supporting evidence should also be provided.

My child was adopted from Care [ ] My child left care under a Special Guardianship Order (SGO) [ ] My child left care under a Residence Order (RO) [ ] My child left care under a Child Arrangement Order (CAO) [ ]

Additional Information Is either parent/carer currently a member of HM Forces? If Yes, which Regiment ___________________________________ This is an

optional answer- we only record this answer locally and use the information to help us to support

your child when a Regiment is deployed.

Yes No

If No, has either parent/carer been a member of HM Forces in the last six years (This information allows the school to collect extra funding for the pupil)

Yes No

Absent Parent If there is an absent parent (separated parents), please complete the section below: Letters/Reports and routine school information will be sent to the parent the child lives with. Formal documentation e.g. reports can be sent to a parent not living with the child if requested. All parents with parental responsibility will be given a login to our Insight system so that progress reports and other information about the child can be seen. An absent parent will NOT be able to see any details about the parent the child lives with nor see any information about siblings of the child. Usually only the parent the child lives with is expected to attend Parents’ Evening. Absent parents can contact the school to make separate appointments. It is the responsibility of the parents to make sensible choices about timings and contact with each other at such events. Name of the parent with whom the pupil normally lives: Where a pupil lives with parents on an alternating basis, please tell us what the arrangements are: Name of the absent parent: Parental Responsibility: YES NO Address of the absent parent: Telephone/Mobile Number of the absent parent: Relationship to Child:

Parental/Carer Consent Photographs: Your child’s school photograph will be taken at the beginning of Year 7 and Year 10. We will use an external photographer/company to take these images. The images will be held on our internal computer system. We use the image to be able to identify your child for safeguarding, medical arrangements and seating plans. We do not display your child’s image alongside their full name. Photo permission includes permission for this external company to take your child’s image and for us to provide the company with your child’s name and tutor group in an encrypted and secure format. We do not share contact or other details about your child . Consent will last for the whole of the 5 years your child is with us. If you wish to remove consent you will need to log into Insight and make the change or notify the school in writing. Do you give permission for photographs of your child, to be used in school or externally if required for publicity?

Yes No

Emergency Closure: In the event of an emergency closure of the school, we are seeking your permission for your child to return home without us having to contact you on the day.

Yes No

Additional Information Has a court order been issued which affects parental contact with the child? If Yes, please provided details, Court order reference number: Restrictions:

Yes No

Previous School Please list the last 2 schools your child has attended (where applicable), including start and leaving dates: Name of School: _______________________________________ Start Date: Leaving Date: Name of School: _______________________________________ Start Date: Leaving Date:

Biometric Information for Cashless Catering

We no longer accept cash as payment for food or drink items purchased at breakfast, break or lunchtimes. Instead we use a cashless system that uses either biometric fingerprint imaging or a secure pin number. If you wish your child to have an image of their thumb print taken, please sign the consent below. We will not register your child for this system without your permission. You can find full information on the school’s website about Biometrics, including your rights and our Policy.

I give permission for my child to be enrolled into the Biometric cashless catering system

Parent/Carer Signature:

Consent for School Trips and other off-site activities

Please sign and date the form below if you are happy for your child:

a) To take part in school trips and other activities that take place off school premises;

b) To be given first aid or urgent medical treatment during any school trip or activity. Please note the following important information before signing this form:

The trips and activities covered by this consent include; o all visits (including residential trips) which take place during the holidays or a weekend o adventure activities at any time o off-site sporting fixtures outside the school day, o off-site Sports Day

The school will send you information about each trip or activity before it takes place. If payment for a trip is required you will be asked to pay for it via ParentPay- paying for a trip

automatically gives consent for your child to attend the trip. You can, if you wish, tell the school that you do not want your child to take part in any

particular school trip or activity.

Written parental consent will not be requested from you for the majority of off-site activities offered by the school – for example, year-group visits to local amenities – as such activities are part of the school’s curriculum and usually take place during the normal school day, seasonal music/singing trips to local residential homes/clubs, and visits to further education careers fairs and College Open Days. Please complete the medical information section below (if applicable) and sign and date this form if you agree to the above. Medical information Details of any medical condition that my child suffers from and any medication my child should take during off-site visits: Any additional information that you wish to tell us about – including allergies

Parent/Carer Signature: Date:

HOLDERS ROAD AMESBURY WILTSHIRE SP4 7PW

THE STONEHENGE SCHOOL

HOME SCHOOL AGREEMENT At Stonehenge, we know that students succeed when the school and parents and carers work together to support the child. STUDENTS HAVE A RESPONSIBILITY TO: do their best at all times • keep the rules of the school • make good choices about their learning and behaviour • take care of our school environment • be on time to all lessons and come to school each day with the books and equipment they need • wear the correct school uniform • have a reasonable bed time in term time • take letters and newsletters home • do their homework on time and ask their parents to sign their diaries each week • respect the rights of all members of the school community to work and learn • Speak to all adults and each other with respect STUDENTS’ FAMILIES SUPPORT THEM BY: making sure they come to school on time each day with the books and equipment they need • ensuring that they wear the correct school uniform • labelling all clothing and belongings and making sure that valuables are left at home • expecting children to behave in a disciplined manner in and around school • sending them to school in good health and letting us know about any medical needs • updating contact telephone numbers • telephoning on the first day that a child is absent • sending a letter to explain all absences • working in partnership with the school to overcome obstacles to their children’s progress • attending parents evenings • giving them lots of encouragement and praise • ensuring that homework is completed and the Student Planner is signed • ensuring there are no family holidays during term time in Years 10 & 11

THE SCHOOL HAS A RESPONSIBILITY TO:

welcome parents and the wider community into our school promote and reward good behaviour, encouraging students to take responsibility for their own

actions and the consequences of them treat and value everyone equally, whilst respecting and developing individuality provide challenging and stimulating lessons and other learning experiences set and mark homework regularly monitor, guide and support students to achieve high standards and fulfil themselves in everyway communicate regularly with parents about the work of the school and the progress of their

children

work in partnership with parents and others to overcome obstacles to learning and improve opportunities

keep students safe and create a climate where bullying in any form (physical, verbal, emotional, racial) is not acceptable

This agreement is in our student planner, and is signed annually by our parents and carers. Parent/Carer Signature: Date:

Pupil Signature: Date:

What is Parental responsibility? Parental responsibility is defined in law as being the rights, duties, powers and responsibilities a parent has to their child and the child’s property. If you have parental responsibility for a child you don’t live with, you don’t necessarily have a right to contact with them - but the other parent still needs to keep you updated about their well-being and progress.

Who has Parental responsibility? The mother automatically has parental responsibility for her child from birth

The birth father, if he was married to the mother at the time of birth or married after the birth

but before the child’s 16th birthday. The birth father if both parents jointly registered the birth in person on or after 1st December

2003.

The birth father if he has been granted parental responsibility through a court order or through prescribed form of agreement.

Same-sex partners will both have parental responsibility if they were civil partners at the time

of the treatment e.g. donor insemination or fertility treatment. An adult who has been granted a residence or care order by the court. The child’s legally appointed guardian or adoptive parents. The local authority if the child is in care under an order.

Parental responsibility in Education Collecting Children If only one parent has parental responsibility, they can say who should pick up the child. If both parents have parental responsibility, but there is a court order prescribing who should have residence and only limited contact for the other parent, then schools should normally respect the wishes of the parent who has residence. In the event of a dispute, the parents should be asked to take the matter back to court. Trips and Visits Only a parent with parental responsibility can give a full and informed consent. However, any other person who has actual care of the child can do what is reasonable in all the circumstances of the case for the purpose of safeguarding or promoting the child’s welfare (Children Act 1989). Useful web links/resources www.gov.uk/parental-rights-responsibilities/who-has-parental-responsibility www.familylives.org.uk/advice/divorce-and-separation/shared-parenting-and-contact/parental-responsibility

Parental Responsibility Guidance (Please keep this for reference)

All of the information you have provided in this form is collected in accordance with the following regulations laid down by

The Education (Information about pupils) (England) Regulations 2013 The Education (Pupil Registration) (England) Regulations 2006 and subsequent amendments of

2010/2011/2013

Section 100 Children and Families Act 2014 and DfE Supporting pupils at school with medical

conditions (2014)

Equality Act (2010)

Section 175 of the Education Act

Keeping Children Safe in Education (2016)

Working together to safeguard children (March 2015)

SEN Children and Families Act 2014

Education Acts 1996 & 2006

Freedom of Information Act (2000)

and General Data Protection Regulations (2016 and updated 2018)

Where we have asked you for additional optional information we have clearly marked this

on the form. In addition, there may be times in the school year when we may require

further information from you for a specific purpose. At that time, we will advise you of any

additional information regarding your rights as we are required to do by the GDPR.

Your child’s name and date of birth will be shared with Wiltshire Healthcare Providers

(Virgin Care) when the public vaccination of children happens- this data sharing is covered

by GDPR in the interests of public health.

Each pupil has an individual electronic pupil file which is created when they are admitted to school. This file is transferred with them as they progress through the Education system and is then retained by their final schools for 25 years from their date of birth, after which it is securely destroyed. We also hold paper based files which are securely destroyed as above. Please see our Privacy Notice on the school’s website for full information www.stonehenge.wilts.sch.uk

We strongly encourage all parents to look at our school website for up to date information and policies. Some policies and general guidance can also be found in your child’s planner and your information pack.

General Data Protection Regulations 2018 (Please keep this for reference)