St John the Baptist School, Woking

This form consists of two parts. It will take you around 20 minutes to complete once you have read all the information (see checklist) and have the details to hand that are required. When you click 'Submit' at the end of part one the data is stored and you are moved on to part two of the form.

Part one contains all the mandatory information which we need for all students joining SJB. The second part of the form is to sign up for our iPad scheme and the SJB Club.

Please note, regardless as to whether you are joining the iPad Scheme or not, all parents and new students must complete the iPad scheme form and agree to the terms and conditions for using an iPad at SJB.

For further information on the way we use your data, please see the Xavier Catholic Education Trust Privacy Notice.

This form must be completed by 6th of June 2022.

Student Details

Surname

Forename

Middle name(s)

Preferred name

Date of birth

Address line 1

Address line 2

Town

County

Postcode

What is your child's current school?

Has your child ever attended a state school (primary or secondary)? i Yes No

If yes, which one?

Please state your child's ethnic origin

What is your child's first language? (if not English, please specify)

Does your child speak another language at home? If so, which one?

Gender

MaleFemale

Child's Religion

Family Details

Please provide details for at least one parent or carer

Father's details Please tick the following box if you would rather not provide the Father's details, or the information is not applicable

Title

If other:

Father's surname

Father's forename

Father's home telephone no.

Father's work telephone no.

Father's mobile telephone no.

Please provide at least one contact number

Father's occupation

Father's email address

Father's home address same as child's? YesNo (If 'No', please complete the address details below)

Address line 1

Address line 2

Town

County

Postcode

Mother's details Please tick the following box if you would rather not provide the Mother's details, or the information is not applicable

Title

If other:

Mother's surname

Mother's forename

Mother's home telephone no.

Mother's work telephone no.

Mother's mobile telephone no.

Please provide at least one contact number

Mother's occupation

Mother's email address

Mother's home address same as child's? YesNo (If 'No', please complete the address details below)

Address line 1

Address line 2

Town

County

Postcode

Guardian/Carer's details Please tick the following box if this information is not applicable

Title

If other:

Guardian/Carer's surname

Guardian/Carer's forename

Guardian/Carer's home telephone no.

Guardian/Carer's work telephone no.

Guardian/Carer's mobile telephone no.

Guardian/Carer's occupation

Guardian/Carer's email address

Relationship to Child

Guardian/Carer's home address same as child's? YesNo (If 'No', please complete the address details below)

Address line 1

Address line 2

Town

County

Postcode

Does your child undertake any caring responsibilities for a family member at home?

If applicable, please provide details

Emergency contact details

In case of an emergency, could you please provide us with an alternative contact in unlikely event that we are unable to reach the primary contacts

Emergency contact name

Emergency phone number

I confirm that by supplying the above contact details, the named person has given permission to have their details stored alongside my child to be used in the case of an emergency when primary contacts are unavailable.

Other

How will your child be travelling to school?

Is your child entitled to free school meals? i

YesNo

Please complete and sign the Free School Meals Eligibility & Application Form and return to the school office

Does your child have any special educational needs?

YesNoPrefer not to say

If 'Yes', please provide details

Are either or both parents regular members of HM Forces or have been at any point since 2016?

YesNo

Please complete and sign the Free School Meals Eligibility & Application Form and return to the school office

Health and Medical Details

I understand that:

those supervising my child are in loco parentis and will exercise a standard of care which would be expected of a reasonably prudent parent including emergency first aid
Yes No
it is my responsibility to notify the school of any changes to the medical/dietary needs of my child, and supply up to date emergency contact details should parents not be immediately contactable. I will update the school with changes to my child’s medical and contact details
YesNo

Does your child have any current or long term medical conditions of which the school should be aware (e.g. asthma, allergies, diabetes etc.)?

Yes (Please provide details)No

Will you be providing any medication for the school to hold for your child?

Yes (Please provide details) No

Is there anything of a confidential nature of which you feel the school should be aware of? You may give details below or send a confidential letter to the Headteacher

Name of your child's doctor

Address Line 1

Address Line 2

Town

County

Post code

Telephone number

Educational Visits and Trips

There are many occasions throughout the year when we take students out of school to support their learning and development. We are not, however, able to do this without prior consent from parents/guardians. The Department for Education has advised that a general consent form to cover the time that your child is at SJB will be sufficient in the future.

I hereby give consent:

for my child to take part in school visits (including residential) and other activities* that take place off school premises, abroad, in school time, after school, at weekends and in school holidays
for the school to obtain first aid or urgent medical treatment for my child, should it become necessary

*Other activities include but are not restricted to Duke of Edinburgh Award expeditions and sporting fixtures

I understand that:

those supervising my child are in loco parentis and will exercise a standard of care which would be expected of a reasonably prudent parent
my child's information may be passed on to associated companies (i.e. travel companies) who will use the information for the trips/visit and will maintain that data in accordance with their own data policy
the school will provide me with details of all trips and visits
it is my responsibility to notify the school of any changes to the medical/dietary needs of my child, or the emergency contact details for the duration of each trip

I agreeDo not agree

The letter advising you of a forthcoming trip or visit will remind you to inform the school of any medical conditions e.g.diabetes, epilepsy, allergies or dietary needs. You should update this information via email to:
trips@sjb.surrey.sch.uk or by letter to: Educational Visits Coordinator, SJB School.

SJB Charter

Please indicate below that you have read the SJB Charter

I have read the SJB Charter

Biometric Scanning

All students purchase meals through our cashless catering system. For this we need to use a finger recognition system, but no image will be stored.

I consent to my child having his/her finger scanned for this purpose

YesNo

Photography and Videography

I give permission for a photograph/video of my child to appear from time to time on the school website and on printed publications

YesNo

Photographs in publicity materials may be used beyond your child’s time at school until the next update of those materials.

Signed

Title

If 'Other', please specify

Full name
(deemed signed)

Date

Should you continue to experience any problems with this form, please contact the web developer

St John the Baptist School

Checklist

Make sure you:

Additional Information and iPad Scheme Forms

Part 1 - Additional Information

Student Details

Family Details

Father's details Please tick the following box if you would rather not provide the Father's details, or the information is not applicable

Mother's details Please tick the following box if you would rather not provide the Mother's details, or the information is not applicable

Guardian/Carer's details Please tick the following box if this information is not applicable

Does your child undertake any caring responsibilities for a family member at home?

Emergency contact details

Other

Health and Medical Details

Educational Visits and Trips

SJB Charter

Biometric Scanning

Photography and Videography

Contact Information

Signed