Data COLLECTION Form

Data Protection Legislation: The school is registered with the Information Commissioner's Office (ICO) for the lawful holding and processing of personal data. We have a legal and ethical duty to safeguard this information and ensure it remains accurate and up to date.

In certain circumstances, we are required to share relevant personal data with trusted external organisations, including the Local Authority and the Department for Education, to fulfil our statutory obligations.

For full details on how we collect, use, and share personal information, please refer to our Privacy Notice located on the Policies page

Please note that where we rely on your consent to process your information, you have the right to withdraw or amend your consent at any time. Please refer to the school’s privacy notice for details of when we ask for your consent to use your personal data. You can notify us of a withdrawal of or any changes to your consent in writing by contacting office@st-andrewscofe.worcs.sch.uk

Please fill in the form below

Please complete all fields marked (*)

Your first name *

Your last name *

Your email *

Child's Legal Surname *

Child's Chosen Surname (if applicable)

Child's Legal Forename *

Child's Chosen Forename (if applicable)

Child's Middle Name(s)

Child's Gender *

Child's Date of Birth *

Child's Home Address *

Child's Postcode *

Child's Home Telephone Number *

Name of Child's Doctor *

Address of Practice *

Telephone Number of Practice *

Medical Conditions/Information that you wish the school to record *

Please add n/a if not applicable

Dietary Needs/Allergies *

Please list any dietary needs or allergies you are aware of, please add n/a if not applicable

Ethnicity *

Other Nationality not listed above

Home Language *

Other Home Language not listed above

Religion *

Other Religion not listed above

1st Contact Full Name *

Please enter contact details for you or any person who has any legal responsibility for this child and anyone else who could be contacted should an emergency arise when you are unavailable. You may use the Contact Priority (1-4) to indicate the preferred order in which contacts should be attempted in an emergency. Relationship should be shown as Parent, Aunt, Friend, etc.

1st Contact Mobile Number *

1st Contact Alternative Number

e.g. Work/Office Number

1st Contact Home Address *

1st Contact Postcode *

1st Contact Relationship *

1st Contact Parental Responsibility *

1st Contact Email Address *

2nd Contact Full Name *

2nd Contact Mobile Number *

2nd Contact Alternative Number

e.g. Work/Office Number

2nd Contact Home Address *

2nd Contact Postcode *

2nd Contact Relationship *

2nd Contact Parental Responsibility *

2nd Contact Email Address *

3rd Contact Full Name

3rd Contact Mobile Number

3rd Contact Alternative Number

e.g. Work/Office Number

3rd Contact Home Address

3rd Contact Postcode

3rd Contact Relationship

3rd Contact Parental Responsibility

3rd Contact Email Address

4th Contact Full Name

4th Contact Mobile Number

4th Contact Alternative Number

e.g. Work/Office Number

4th Contact Home Address

4th Contact Postcode

4th Contact Relationship

4th Contact Parental Responsibility

4th Contact Email Address

Do any parents/carers require additional support with accessing information, completing forms or attending meetings at school *

e.g. due to a hearing impairment, language difficulty or any disability you wish school to know about

Please provide a signature. *

St Andrew's CE First School

St Andrew's CE First School

Data COLLECTION Form