New Starter Form to be completed by parent/carer

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* Please upload a copy of your child's birth certificate here* 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

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 assistance to alert them to your child's needs. This information will be shared as described in the school's SDBE GDPR Privacy Notice Primary 2020 where applicable.

Select any of the following that may apply to your child. There is an opportunity below to give further information on these, or any other conditions, that may apply. 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? Any other relevant information?

Primary Parent/Carer Title - please select* Primary Parent/Carer Full Name* Relationship to child* Primary Parent/Carer Date of Birth* Primary Parent/Carer National Insurance No.* Primary Parent/Carer Occupation Full Address including postcode* Please upload proof of address document less than 3 months old.* Email address* Mobile telephone no.* Home telephone no. Work telephone no.

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.

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. 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 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