New Starters

We request you upload two documents below as part of your enrolment process. If you have difficulty doing so, please contact office@st-james.southwark.sch.uk. We will arrange for you to send in your documentation through alternative means.

Please upload a copy of your child's birth certificate here.* No file chosen Please upload proof of your address; the document must be less than 3 months old. This document can be a utility bill, bank statement etc. and WILL NOT be kept on file once verification has taken place.* No file chosen

SECTION ONE: The details you provide in this section are about the child you are wishing to enrol at St James'.

My child is starting*St James' SchoolSt James' Nursery

Child's Legal First Name and Legal Surname* Child's Preferred First Name and Surname (if different from above)

Select Gender*FemaleMale

Child's date of birth* Child's NHS number (found in NHS "red book")* Language spoken at home* If not English, please comment on your child's level of English speaking. Languages other than English your child understands. Indication of religion - please choose from dropdown list Your Child's Ethnicity - please choose from dropdown list* Previous Nursery/School attended

SECTION TWO: this section is regarding any medical issues that may apply to your child. This information will be used/consulted by your child's class teacher and teaching assistant to alert them to your child's needs. This information will be shared as described in the school's SDBE UK-GDPR Privacy Notice Primary where applicable.

If your child has been vaccinated against Tetanus, please give the date of vaccination here: Please list here any other medical conditions not listed above and/or give further details about any condition that you have listed above.

If any medical conditions apply to your child, please give more details in the section below.

What is the normal treatment? Will medication be needed in school? Who should be contacted if illness occurs?

Is your child in receipt of Disability Living Allowance?*YesNo

If the answer to the above question on DLA is "yes", please quote the DLA reference number below. This information will allow the school to claim additional funding to aid your child whilst at St James'. Any other relevant information?

SECTION THREE: The details you provide in this section are of the child's primary or main contact and the person with whom the child lives for the majority of the time.

The person named below is a Legal Guardian to this child*YesNo

Primary Parent/Carer Title - please select* Primary Parent/Carer Full Name* Relationship to child* Primary Parent/Carer Date of Birth*

Are you a British Citizen? If your answer to this question is 'No', please proceed to the next item where you need to upload scanned evidence of your right to remain in the UK, such as a copy of your visa, right to remain documentation, immigration status, etc.*YesNo

If you are not a British citizen, please upload a document here (see above) to provide evidence of your right to remain status in the UK. Please note that without evidence of your right to remain, you will not be able to continue with your application to St James'. No file chosen Primary Parent/Carer National Insurance No.* Primary Parent/Carer Occupation Full Address including postcode* Email address* Mobile telephone no.* Home telephone no. Work telephone no.

SECTION FOUR: The details you provide in this section are of a second parent/carer who could be contacted in an emergency.

The person named below is a Legal Guardian to this child*YesNo

2nd Parent/Carer Title - please select* 2nd Parent/Carer Full Name* Relationship to Child* 2nd Parent/Carer Date of Birth* 2nd Parent/Carer National Insurance No.* 2nd Parent/Carer Occupation 2nd Parent/Carer Full address including postcode* Email address Mobile telephone no.* Home telephone no. Work telephone no.

SECTION FIVE: The details you provide in this section are of a third person who could be contacted about your child in the event of an emergency. Safeguarding guidelines dictate that we gather three contacts for each child enroled at the school.

The person named below is a Legal Guardian to this child*YesNo

Additional Emergency Contact (other family member or friend)* Relationship to Child* Full Name* Full Address including postcode* Mobile telephone no.* Home telephone no. Work telephone no.

DECLARATION : The information I have given on this form is complete and accurate. I understand that my personal information is held securely and will be used only for local authority purposes. I agree to the local authority using this information to process my eligibility for pupil premium. Please see below for a full explanation of this funding.*I agree

Thank you for completing this form and helping to make sure your child’s school is as well funded as possible. The information you have provided here will be used by Southwark Council to establish eligibility to pupil premium which may contribute to funding at your child's school. It may also result in eligible families receiving holiday meal vouchers. Once this is confirmed, this helps to decide how much money your child’s school will receive each year. We are committed to ensuring that the personal and sensitive information that we hold about you is protected and kept safe and secure, and we have measures in place to prevent the loss, misuse or alteration of your personal information. Please see our UK-GDPR Privacy Notices posted on the New Parent Information page. We will use the information you provide to assess entitlement to pupil premium. The information may also be shared with other Council departments to offer benefits and services*

Now please inform us of your consent wishes by completing our Web Publication Consent Form - thank you.

Parents

New Starter Form to be completed by parent/carer

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