Admissions

Date: Pupil:

Contents: Pupil personal information Parents/Carers contact Emergency contact Medical details Ethnicity and EAL Previous school information Background information Young carer Dietary and School Lunch Special Educational Needs Transport to Wellington Primary Academy Photographs Data handling and processing policy Staying Safe Online & Responsible Internet Use Homework agreement Academy attendance Mobile phone policy Academy minibus policy Trip consent form Uniform Free School Meals Parental Guidance film consent Meal arrangements Bringing bicycles to Wellington Primary Academy policy

Pupil personal informationDate of birth: Gender: M / F

Forename: Place of birth:

Original Birth certificate seen Yes / No Staff signature

Preferred name: Middle name:

Surname: Legal surname:

Home address: Post code:

Country of residence: Nationality:

Home telephone:

Parents/Carers contact details: (please indicate Step Parent or second home where applicable)

Title: Title:

Forename: Forename:

Middle names: Middle names:

Surname: Surname:

Relationship to child:

Relationship to child:

Profession: Profession:

Do you have legal parental responsibility? Yes / No Do you have legal parental responsibility? Yes / No

Mobile: Mobile:

Home telephone: Home telephone:

Email address: Email address:

Work telephone: Work telephone:

Please circle the main family email address that you wish all correspondence sent to

Forces/Regiment: Forces/Regiment:

Rank: Rank:

Forces Contact No.:

Forces Contact No.:

Home address: Home address:

Post Code: Post Code:

Are there any special family or marital circumstances? Yes /No If Yes please give details below

Are you a former serving member of the Armed Forces in the last 5 years? Yes / No

Date of discharge:

Emergency contact details: (include childminder if applicable)First contact Second contact

Title: Title:

Forename: Forename:

Surname: Surname:

Relationship to child:

Relationship to child:

Mobile: Mobile:

Home telephone: Home telephone:

Work telephone: Work telephone:

Third contact Fourth contactTitle: Title:

Forename: Forename:

Surname: Surname:

Relationship to child:

Relationship to child:

Mobile: Mobile:

Home telephone: Home telephone:

Work telephone: Work telephone:

Medical details:

Name of Doctor:

Surgery name:

Surgery address:

Post Code:

Surgery telephone:

Allergies:

Medication taken:

Medical Information:

If you have recently moved and have not yet joined a surgery please update the office as soon as you have more details

Name of child’s current doctor/GP:………………………………………………………Name of surgery:………………………………………………………………

Address & Tel No.:…………………………………………………………………………………………………………………………………………………………………………..

If moving Name, Address & Tel No. of new GP:…………………………………………………………………..…………………………………………………………..

Please complete

YES NO DETAILS

Has your child got any medical condition or disability that we need

to be aware of?Does your child have Asthma*,

diabetes or other chronic illness A named inhaler and spacer are required in school at all times. You are responsible for checking expiry dates.

Does your child have any allergies?Does your child have any

emergency medication that needs to be taken in school?

Has your child ever been to hospital?

Is your child currently under any specialist?

Has your child previously been under any specialist?

Does your child need to wear glasses or a hearing aid?

Does your child suffer from re-current ear infections, colds, coughs

etc.Does your child have any problems

using the toilet independently?Does your child have any emotional or behavioural needs that we need

to know about?Did your child have all their pre-

school vaccinations?Is your child up to date with any

further vaccinations?Did your child have their pre-school

check?Does your child have any speech

and language needs?Has your child had any of the

following (please complete details)Chicken pox, Measles, Mumps,

Whooping cough, German Measles (Rubella)

If you wish to make an appointment to discuss your child’s medical needs further with the Headteacher & School Nurse please indicate: yes…….. no………

Details of most recent school attended

School name:

School address:

Post Code:

Telephone:

Details of previous school attendedSchool name:

School address:

Post Code:

Telephone:

Details of previous Nursery / PreschoolSchool name:

School address:

Post Code:

Telephone:

Background information:

Religion:Please include any additional information if applicable:

Ethnicity:

Language:

Have you ever had contact with social care Yes / NoName of social worker and contact details if applicable:

Does either parent consider themselves disabled? Yes No

Do you consider your child disabled? Yes No

Please give further details if you have indicated ‘Yes’ to either of the above

Young carer:

Is your child a young carer? Yes NoParent/Carer:

Siblings:

Full name: D.O.B. Nursery / School:

Ethnicity & EAL FormEthnic background record form (based on the new national population census ethnic categories)Our ethnic background describes how we think of ourselves. This may be based on many things, e.g. skin colour, language, culture, ancestry or family history. Ethnic background is not the same as nationality or country of birth. Please study the list below and tick one box only to indicate the ethnic background of your child.

Ethnicity:Please

tick

Irish

White British

Traveller of Irish Heritage

Gypsy/Roma

European

Any other White background

Mixed

White and Black Caribbean

White and Black African

White and Asian

Any other mixed background

Asian or Asian British

Indian

Pakistani

Bangladeshi

Any other Asian background

Black or Black British

Caribbean

African

Any other Black background

Chinese

Any other ethnic background

I do not wish to record my child’s ethnic background

Languages spoken at home that your child is exposed to (other than English):……………………………………………………………………………….

Languages other than English your child learnt at his / her previous school (if applicable). Please include length of time the language(s) was studied:…………………………………………………………………………………………………………………………………………………………………………….

Meal arrangements:

Hot School meals Home Packed lunch KS2 only KS 2 only – combination of meals

Dietary InformationAll children from Reception to Year 2 will receive a free hot lunch at Wellington Primary Academy. These free lunches come under the Government Universal Entitlement Scheme for all infant children and are different from an income based free school meal. Children in Key Stage 2 can have a hot lunch, or they may bring a healthy packed lunch – no fizzy drinks, sweets, chocolates or nuts (including peanut butter or a nut based chocolate spread)

Hot lunches at Wellington Primary Academy are provided by Harrisons and cooked on site. In order to support your child’s dietary requirements for lunch and for any other food related activity that is carried out in school we need to know about any specific dietary needs. Other activities may include cooking, food tasting, special lunches etc.

Special dietary requirements – please indicate

Vegetarian Vegan Halal

Other (please supply details) ………………………………………………………………………………………………………………………………………………………………………………………………….

…………………………………………………………………………………………………………………………………………………………………………………………………..

Food Allergy details

Lactose intolerant Celiac Anaphylaxis

details:…………………………………………………………………………………………………………………………………….

Other (please give details)

…………………………………………………………………………………………………………………………………………………

Have these allergies been diagnosed by a doctor?

Yes No

If yes please supply written medical evidence

Any further information you may wish to share

Special Education Needs

If your child has any form of Special Educational Need, please tick the relevant box below and add any additional comments:

None Differentiated school support (IEP. IBP)

CAF EHCP My support plan Outside Agency support

Additional comments:

Bringing bicycles to Wellington Primary Academy policy:Wellington Primary Academy is keen to encourage walking and cycling to school in order to promote healthy lifestyles and reduce the danger of traffic congestion at the start and end of the school day.

Wellington Primary Academy policy: Pupils wishing to bring their bicycles on to Wellington Primary Academy premises should seek permission

from Wellington Primary Academy first. There is allocated storage of bicycles during the day. Wellington Primary Academy is not responsible for

the safety of pupils’ bicycles whilst they are on Wellington Primary Academy premises. All bicycles must be in a safe and roadworthy condition and safety helmets must be worn on the journey

to and from Wellington Primary Academy.

Please sign below to confirm acceptance of this policy.

Parent/Carer:

Pupil:

Data handling and processing policy:We, Wellington Primary Academy, are the Data Controller for the purposes of the Data Protection Act. We collect information on your child and may receive information about them from their previous school. We hold this personal data and use it to:

Support their teaching and learning Monitor and report on their progress Provide appropriate pastoral care

This information will include contact details, national curriculum assessment results, attendance information, characteristics such as ethnic group, special educational needs and any relevant medical information.

We will not give any of this information to anyone outside Wellington Primary Academy without your consent unless the law and our rules permit e.g. social care police etc. We are required by law to pass some of the information to the Local Authority (LA) and the Education Funding Agency (EFA). If you would like to see a copy of the information we hold and share, please call Wellington Primary Academy on 01264 310780 and ask for the Cluster Office Manager.

If you require information about how the LA and EFA store and use this data, please go to the following websites:www.wiltshire.gov.uk/schoolseducationandlearning.htmwww.education.gov.uk/schools

Staying Safe Online & Internet policy / Responsible Internet Use

As part of your child’s computing curriculum and the development of their Computing skills, Wellington Primary Academy provides supervised access to the Internet. We believe that the effective use of the World Wide Web and e-mail is worthwhile and is an essential skill for children as they grow up in the modern world. Please would you read the attached Rules for Responsible Internet Use and sign and return the consent form so that your child may use the Internet at school.Although there are concerns about pupils having access to undesirable materials, we have taken positive steps to reduce this risk in school. Our multi academy internet provider operates a filtering system that restricts access to inappropriate materials. Whilst every endeavour is made to ensure that suitable restrictions are placed on the ability of children to access inappropriate materials, the Academy cannot be held responsible for the nature or content of materials accessed through the Internet. The Academy will not be liable for any damages arising from your child’s use of the Internet facilities.

Pupil Responsible Internet Use These rules help us to be fair to others and keep everyone safe.• I will ask permission before using the Internet. • I will use only my class network login and password, which is secret. • I will only open or delete my own files. • I understand that I must not bring into the Academy and use software or files without permission.

• I will only e-mail and open attachments from people I know, or my teacher has approved.

• The messages I send will be polite and sensible.

• I understand that I must never give my home address or phone number, or arrange to meet someone.

• If I see anything I am unhappy with or I receive messages I do not like, I will tell a teacher immediately.

• I understand that the Academy may check my computer files, e-mails I send and the Internet sites I visit.

• I understand that if I deliberately break these rules, I may not be allowed to use the Internet or computers.

• The Academy may exercise its right to monitor the use of the computer systems, including access to web-

sites, the interception of e-mail and the deletion of inappropriate materials where it believes unauthorised use of

the computer system is or may be taking place, or the system is or may be being used for criminal purposes or for

storing unauthorised or unlawful text, imagery or sound. The Multi Academy Trust monitors all Internet use and will

notify the police and Local Authority if an illegal website is accessed.

Should you wish to discuss any aspect of Internet use (or to see a lesson in operation) please telephone the Cluster

Office Manager to arrange an appointment.

Please complete, sign

Pupil’s name: ………………………………………… Class: …………………………………………..

Parent’s Consent for Internet Access:

I have read and understood the school rules for responsible Internet use and give permission for my son / daughter

to access the Internet. I understand that the school will take all reasonable precautions to ensure pupils cannot

access inappropriate materials. I understand that the Academy cannot be held responsible for the nature or content

of materials accessed through the Internet. I agree that the Academy is not liable for any damages arising from use

of the Internet facilities.

Signed (parent): ……………………………………..…………. Date:……………………………………………..

Please print name:………………………………………………

Home-Academy homework agreement:

Wellington Primary Academy is committed to a positive partnership between the pupils home and staff. The aim is to:

Develop a culture of independent learning in which pupils take responsibility for their own learning. Regularly set a varied range of homework to be completed at home.

Please see Wellington Primary Academy website for weekly information on homework and also your child’s book bag.

If homework becomes an issue in a particular area, the class teacher may telephone or write to parents.

Please sign below to confirm acceptance of this policy.

Parent/Carer:

Academy attendance:We want all pupils at Wellington Primary Academy to have the best possible attendance to enable them to reach their full potential in all aspects of school life. Communication between home and school is vital if we are to achieve this and maintain accurate and up to date attendance records for individual pupils.

As an Academy we would appreciate your support in the following ways:

• Telephone the school by 08:40 to tell us why your child is absent and when you expect them to return. • EYFS /KS1 to be accompanied by a parent / carer • KS2 to arrive no earlier than 08.30• Keep in regular contact if they are likely to be absent for a period of time. • Only allow your child to stay at home for genuine illness. • Ensure your child arrives at school by 08:40 and is prepared for the day. Parents / carers are required to

complete the signing in / out form for children arriving late or being taken out of school during the normal school day

• Avoid booking non-urgent medical appointments during the school day. Written evidence is required to confirm medical appointments such as Dentist, Doctor etc.

• If you have any concerns please contact us so we can support you and your child and resolve any issues.

Leave of AbsenceCurrent policy guidelines mean that the Head teacher cannot authorise holidays during term time unless this falls

within exceptional circumstance as set out by the Department for Education.

There is further information on the school website under ‘Absence and Leave Requests’.

Please sign below to confirm acceptance of this policy.

Parent/Carer:

Mobile phone policy:Camera, mobile phone and recording device use policy INTRODUCTION This policy has been written to be read in line with all other safeguarding policies and procedures at Wellington Primary Academy. It has been written to keep all children safe following high profile media cases in recent years and also to keep all staff and visitors safe from allegations. RATIONALE At Wellington Primary Academy, we recognise that photographs and video recordings play a part in the life of the nursery. We ensure that any photographs or recordings (including CCTV) taken of children are only done with prior written permission from each child’s parent. We obtain this when each child is registered and we update it on a regular basis to ensure that this permission still stands. PROCEDURES We ask for individual permissions for photographs and video recordings for a range of purposes including: use in the child’s learning journey; for display purposes; for promotion materials including our website, brochure and the local press; and for security in relation to CCTV. We ensure that parents understand that where their child is also on another child’s photograph, but not as the primary person, that may be used in another child’s learning journey. If a parent is not happy about one or more of these uses we will respect their wishes and find alternative ways of recording their child’s play or learning. Parents are not permitted to use any recording device or camera (including those on mobile phones) on the premises without the prior consent of the Head Teacher. During special events, e.g. Christmas or leaving parties, staff may produce group photographs to distribute to parents on request. In this case we will gain individual permission for each child before the event. This will ensure all photographs taken are in line with parental choice. We ask that photos of events such as Christmas parties are not posted on any social media websites/areas without permission from parents of all the children included in the picture. Any complaint made by a parent regarding this policy or misuse of this must follow the Trust Complaints policy and procedure. Any serious breach of this policy must follow the Wiltshire Safeguarding Children’s Board flowchart and Allegations against School Staff flowchart. Monitoring, evaluation and review The Trust will review this policy at least every two years and assess its implementation and effectiveness.

Parent/Carer:

Academy minibus policy:All pupils may at some point need to travel in Wellington Primary Academy minibus, e.g. visits, theatre trips, sports fixtures etc. On every occasion, the pupil will be responsible for any damage they cause or any graffiti they do. Pupils are also responsible for removing their litter on leaving the minibus. At the end of each journey, the driver will check the minibus. Parents /carers of any pupil responsible for wilful damage will be invoiced for repairs. This is a condition of travel on Wellington Primary Academy minibus.

Please sign below to confirm acceptance of this policy.

Parent/Carer:

Pupil:

Trip consent:Throughout your child’s time at Wellington Primary Academy they may be required, or wish to attend trips or activities.

Wellington Primary Academy will send you information about each trip or activity before it takes place. 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.

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 holidays or weekendso adventure activities at any time o off-site sporting fixtures outside the school day

• You can, if you wish, tell Wellington Primary Academy that you do not want your child to take part in any particular school trip or activity. Your child would therefore stay in school with another class to continue their learning

Medical informationIf there is any medical information about your child, including any prescribed medication that we may need to know of please write the details below. Staff only administer emergency mediation e.g. Inhaler, Epipen, etc

By signing the section below you are confirming you are happy for this information to be stored safely on your child’s record at Wellington Primary Academy for future reference on trips and visits. Details of any medical condition my child suffers from and any medication my child should take during off-site visits:

Please sign below to confirm acceptance of this policy and to authorise any first aid or urgent medical treatment during any school activity or trip

Parent/Carer:

The objective of Academy sponsored/organised journeys/educational visits is for pupils and accompanying staff to experience sights and activities, over and above those available in the classroom, in a safe, enjoyable and disciplined manner. Essentially, pupils are expected to think of the well-being of others whilst on trips and behave in a sensible manner so the safety and enjoyment of the group is not compromised.

The completion of the declaration below is required before acceptance on ALL trips. Please read the statements carefully and, if in agreement with the content, sign as indicated.

DECLARATION BY PUPIL SUPPORTED BY PARENT/CARER

As a parent I accept my child should:

1. Observe all applicable Academy rules on and off site.2. To co-operate fully and promptly with all group leaders and staff at all times.3. To behave in a manner which is sensible and considerate towards others.4. To ensure their conduct has the safety of themselves and others in mind and reflects credit on our family,

the class and Wellington Primary Academy.5. To ask staff for clarification if I am unclear on any instructions or detail.

I accept a full written report of any serious misconduct of my child will be given to the Senior Leadership Team of Wellington Primary Academy and I will receive a copy

I also understand and agree that my child may be sent home or collected from the trip, at my expense, if required by the trip leader for serious concerns about behavior and conduct

Please sign below to confirm acceptance of this policy.

Parent/Carer: Date:

Uniform:Uniform can be bought from our supplier Stitch-A-Logo in Andover whose staff will help you with all aspects of uniform purchase. You are able to order online, by telephoning or visiting their shop. There are also different delivery options – free delivery to Wellington Primary Academy where your order can be picked up or for a charge, delivered direct to your door.

Every Term 6 we will hold a new parents meeting at Wellington Primary Academy for those pupils transitioning to to Wellington Primary Academy. You will be notified of the date but if you are unable to attend, you are also able to purchase uniform by the process explained above.

Our uniform supplier is: Stitch-A-Logo 12 Glenmore Business Park Colebrook Way Andover Hampshire SP10 3GQ sales@stitch-a-logo.co.uk Tel 01264 351515 www.stitch-a-logo.co.uk

Free School Meals:

Please note: Free School Meals are only allowed if Parents/Carers are in receipt of:

Income Support Income based Job Seekers Allowance Child Tax Credit (providing your annual income is less than £16,190 and you are also not entitled to Working

Tax Credit) Working Tax Credit run-on – paid for 4 weeks after you stop qualifying for Working Tax Credit Guarantee element of State Pension Credit Universal Credit Support under part VI of the Immigration & Asylum Act 1999

If you receive any element of Working Tax Credit you are NOT eligible to claim Free School Meals

ONLY ONE APPLICATION IS REQUIRED PER FAMILY

To check if you are eligible, please complete the online application form which can be found on our website. Click on the Parent Links tab, then click on Free School Meals. Click when indicated to start your online application.

When completing your online form, please give details of ALL dependent children living at home and who are attending the Wellington Academy.

NOTIFY WELLINGTON PRIMARY ACADEMY IMMEDIATELY OF ANY CHANGES OF CIRCUMSTANCES OR IF MY BENEFIT CEASES. Failure to do so will result in you having to payback any FSM you are not entitled to.

PG-Rated Film and Programme Permission:

Throughout the school year, all classes will be watching films and programmes that correlate with our curriculum, as

well as for entertainment purposes. Many of these films and programmes on DVD are now mostly PG-rated (e.g.

Horrible Histories, Shrek, Ice Age).

With your permission your child will be allowed to watch these child appropriate films and programmes throughout

the year. Please fill out the information below and return to the school office.

If you have any concerns or questions please feel free to contact your class teacher.

PG-Rated Film and Programme Permission:

Pupil Name: ………………………………………………………………..……. I allow my child to watch PG-rated films and programmes

throughout the school year.

Pupil Name: ………………………………………………………………..……. I do not allow my child to watch PG-rated films and

programmes throughout the school year.

Parent/Guardian’s signature …………………………………………………