Dear Parents/Carers,

Please find below the combined Data Collection and Annual Medical Consent Authorisation Form 2024-25 for completion for your child. To ensure that the data that we hold for your child is up to date and to enable them to participate in 'off-site' activities in the new Academic Year, it is important that the form is completed as soon as possible.

Thank you.

Yours sincerely,

Wakefield Girls' Office

Data Collection


Basic Details: 

Child's Legal Forename: *
Child's Legal Surname * *
Preferred Forename:
Middle Names
Date of Birth *
Year Group (for 2024-2025) *

Ethnic/Cultural Details:

Religion *
If you specified 'other religion' please enter the religion here:
Ethnicity *
Nationality (as it appears on passport) *
If your child has 'dual nationality', please enter the nationalities here:
First Language *

Additional Information:

Main mode of travel to school: *

Consents and Declarations

This form provides core information that the school will use to provide an appropriate level of medical care for your child through the school day and whilst away from the school on trips, visits or off-site activities. It is therefore critical that, following completion of this form, during the academic year, if there are any changes to their health or contact information that you supply here, you must advise the school office/school nurse immediately so that the central record can be updated. The information collected here will be treated confidentially, adhering to the Data Protection Act, and only used for the purposes outlined above.

Emergency Contacts

Please provide the full name, salutation and contact number of the pupils emergency contacts below. Including parents/carers, we must have a minimum of 3 contacts on file for every pupil.

Emergency Contact 1 *
Emergency Contact 2
Emergency Contact 3

Medical

Please confirm the full name and address of your child's GP surgery *
Please confirm here any relevant family medical history you may wish to disclose:


Please confirm here any matters that you may wish to discuss with the School Nurse:
Does your child have any of the following medical conditions: *
If you have specified one or more of the above conditions, please provide any further information here:

A Care Plan will be sent to any student with a medical condition which we ask you to return as soon as possible, to ensure their safety within school and to update us on any changes.

Does your child carry their own medication e.g. epipen/inhaler? *
If yes, please specify:
In an emergency, I give permission for my child to be given non-prescription medication by a member of staff if necessary (select all that apply):

In non emergency situations a phone call home will be made before medication is administered. *
My child can swim 50 metres *
My child wears glasses and/or contact lenses: *
I hereby authorise members of school staff to act as necessary on my behalf in an emergency, following reasonable attempts to contact me on the numbers provided, and to sign on my behalf any consent forms for such medical treatment which, in the opinion of a qualified medical practitioner, may be immediately necessary for my child during the course of the school day or whilst participating in educational trips, visits, off-site activities, whole school and school-related events. *

Important: In accordance with the Foundation First Aid Policy, parents must inform the School Nurse if their child requires prescribed medication at school, whether that is for short or long term treatment, so that we can discuss how this will be administered safely. All prescribed medication must be provided in its original packaging with prescription label attached.

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SEND and Safeguarding

Can you please confirm if your child has any disability, special educational need or behavioural issue: *
Can you please confirm if your child is from an adoptive or cared for background: *
Does your child work directly with any external agencies at their current school? *
Are any parents/guardians of your child a member of the Armed Forces? *

If you have specified yes to any of the above questions, our Designated Safeguarding Lead and Learning Support Team will arrange a call with you prior to your child's start with us.

Consent for Trips and Off-Site Activities

Taking pupils out of school places a serious responsibility on the members of staff in charge. It is therefore vital that they can trust students to behave in an appropriate and acceptable manner at all times. Parents should be aware that, should there be any serious misbehaviour prior to the trip, permission to go will be withdrawn and the costs incurred will be borne by parents/guardians. If there are any serious breaches of discipline or unacceptable behaviour, as determined by the person in charge, whilst away from school, then the student(s) concerned will be disciplined and possibly sent home at the parents' expense.

I also consent for personal data, including emergency contact details, medical and dietary information, care plans and other relevant information to be shared where appropriate with trip providers/ third parties. This information will only be shared with third parties when necessary to ensure the safety of our pupils and will be stored and destroyed by the third party in accordance with their privacy notice. We seek assurances from third party providers that personal data will be kept and destroyed securely and in a timely manner.

I understand that it is my responsibility to inform the school, as soon as possible, if any relevant personal or medical information changes. I appreciate it is essential that all student records are kept up to date for health and safety reasons.

Please confirm below that you are the parent/legal guardian of the above child and, understanding the above, hereby grant and confirm permission for them to undertake educational trips, visits, off-site activities, whole school and school related events from 1 September 2024 to 31 August 2025.

Consent for educational trips, visits, off-site activities, whole school and school related events from 1 September 2024 to 31 August 2025. *
Use of Images of Pupils by the School

The school makes various uses of images of pupils during their time at school. Some of these are necessary for administration and the safety of pupils, such as CCTV and for pupil database records. Media uses, including still or moving images of pupils in all aspects of school life, may include the WGSF website; WGSF App; social media platforms (inc. Facebook, Twitter and Instagram); press coverage or in printed publications including the school prospectus, newsletter or magazine. Please indicate below if you consent to your child's image being used in School media. Where appropriate (owing to the pupil's age or nature of the use) we will also seek the verbal or written consent of a particular pupil before publishing any image where that pupil is a particular focus of the shot, or identified by name, but not usually when included as part of a larger group or team shot.

Do you consent to your child's image being used in School media in the manner described. You may withdraw consent at any time in the future. *












Important: Please be aware that objecting as above will not necessarily mean that the School will not continue to process images of your child that are either necessary for administration of the School, or separately consented by you or your daughter (e.g. uses for biometrics), or where the School requires it and is otherwise lawfully entitled to do so. It may not be possible to change printed publications, such as the school magazines or prospectus, or third party publications (for example where we have placed an advert or provided an image to a newspaper). Please see our Privacy Notice, Use of Images of Pupils Policy, Biometrics Data Consent and CCTV Policy for further details.

Occasionally, the Foundation is asked to share images with local or national media. Do you consent to your child's image being shared with local or national media? *

In order for us to make use of the contactless photography service, please could you authorise us to share your email address and mobile number, along with pupil ID, name and class. This will then authorise Tempest Photography to send your child's school photograph directly to you for you to place an order.

I give permission for my details to be shared with Tempest Photography *
Forest School

Three or four times during the school year, your child will spend an afternoon at the Forest School facility at our brother school, QEGS. Warning, if it is raining they will get wet!

Their class teacher will inform them when their class will be attending and on these days they will need to bring the following into school:

Suitable outdoor clothing, including waterproofs, walking or wellington boots.

I give consent for my child to attend Forest School *

Please leave the next box blank or your submission will not be accepted: