PLEASE NOTE - THIS IS ONLY TO BE COMPLETED BY PARENTS OF BOYS NEW TO THE SCHOOL. EXISTING YEAR 6 PARENTS SHOULD COMPLETE THE FORM SENT BY EMAIL ON 6 JULY.

Dear Parents,

Please find below the combined Data Collection and Medical Consent Authorisation Form 2025-26 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.

Data Collection

Basic Details:

Child's Legal Forename: *
Child's Legal Surname *
Preferred Forename: *
Middle Names
Date of Birth *
Year Group (for 2025-2026) *

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 *
Home Language

Residency and Right to Study in the UK:

To study in the UK a child must have either British or Irish Nationality, Settled Status or a valid and in date immigration status that permits study. Please note that the Foundation does not have a sponsor licence. 

If your child does NOT have a UK or Irish passport please provide details of your child's right to study in the UK

My child has a UK or Irish Passport: *
Passport Type: *
My child has pre-settled or settled status: *
I confirm that my child holds an immigration status which confers a right to enter and study in the UK: *
I confirm that my child holds an immigration status which confers a right to enter and study in the UK: *
Please provide the expiry date of any current visas (details can be found in your UKVI account)

The Foundation may require you to provide a share code to the UKVI account to view your child's residency status.
*

Additional Information:

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 (including QED for the Senior Section). 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:
Please confirm here any matters that you 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:
Does your child have any special dietary requirements or problems? (if 'yes' please specify): *
If 'yes' please specify, we will follow this up with a further form from our Catering team and the School Nurse
I give permission for my child to be given non-prescription medication by a member of staff if necessary (select all that apply): *
I give permission for my child to be given Ibuprofen by the School Nurse: *
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.

WELFARE

Is your child a Young Carer? *
If 'yes' what date did they become a Young Carer?

SEND

Can you please confirm if your child has any disability, special educational need or behavioural issue: *
If you have specified yes, please give further details here and a member of our Learning Support Team will contact you: *
Can you please confirm if your child is from an adoptive or cared for background: *

If you have specified yes, our Designated Safeguarding Lead 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 2025 to 31 August 2026.

Consent for educational trips, visits, off-site activities, whole school and school related events from 1 September 2025 to 31 August 2026. *
Use of Images of Pupils by the School

The School makes various uses of images of pupils during their time at school as set out in our Privacy Notice, CCTV Policy and Use of Images of Pupils Policy. While we will not always require your consent for such uses, we do want to ensure that you are both properly informed about how your child’s image will be used and fully understand your choices.

Essential use of images

Some uses are necessary for education, administration and the safety of pupils, such as (CCTV and for your child’s school security ID). Generally, the school relies on its legitimate interests for such purposes.

Internal use of images within the school community

Other uses may not be strictly necessary, but do contribute to our school community, and we anticipate that most parents and pupils will want to support such use. These include images of pupils in school uniform or games kit, but never swimming costumes, at work or playing games or other activities, for: internal use within the school community: for example, internal school mail, school magazines, notice boards, printed or digital newsletters and FireFly.

Again, we consider these legitimate interest uses. We ask you to confirm below that you understand we may use images of your child for these purposes and to let us know if you object to such use.

External use of images

We may also use images of pupils to celebrate achievements and promote the school externally, in printed publications and online, including on the School website or on its social media channels e.g. Facebook, Instagram and X (formerly) Twitter. This generally involves photos of pupils in school uniform or games kit, but never in swimming costumes, at work or playing games or other activity. Care will be taken to limit the scope for any child to be prominently featured in such images, unless this is consented to and appropriate in the circumstances. Please note, we are not seeking consent for images where your child cannot reasonably be identified to anyone outside the school community.

We ask below for your general consent to the use of images of your child in (i) printed material (such as the school magazine or prospectus) and/or (ii) for certain limited online or external media uses (where your child may be featured as part of a group shot, but is not a prominent or central focus of an image).

From time to time the school may seek a specific additional consent from you (and/or, as appropriate, your child) for any more prominent online or external media uses. These will as far as possible be specifically described to your and/or your child before being published.

Objection, withholding or withdrawal of consent

Please be aware that objecting or opting out does not prevent the School from continuing to process images of your child that are essential (as set out above). If you do object to non-essential internal uses, these will be considered by the school, and reasonable steps will be taken (for example, to digitally blur or crop group shots). You can always opt out of marketing uses, although it may not be possible to recall materials that already have gone to physical publication based on earlier permissions

Internal Use of Images within the School Community

Internal Use of Images within the School Community: *
Please give reasons and/or explain what you specifically object to [optional]:

(So that we can best support your child’s needs in considering your request).

External Use of Images

External Use of Images: *
Type of External Image Consent: *
I have discussed this with my child and my child is in agreement with the use of images consent choices outlined above (if Y7 or above)

Tempest Photography

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 *


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