St George's School CONFIDENTIAL - Admission Information - St George's School
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St George's School
CONFIDENTIAL
Admission Information
NAME OF PUPIL__________________________________________
St George's School, Harpenden Academy Trust
Sun Lane, Harpenden, Hertfordshire AL5 4TD
Telephone: 01582 765477
Email address: admin@stgeorges.herts.sch.uk
Website: www.stgeorges.herts.sch.ukPLEASE COMPLETE ALL SECTIONS IN CAPITAL LETTERS
Child’s Legal Forename
Middle Name(s)
Legal Surname
Preferred Surname
Preferred Forename
Date of Birth
Gender
Position in Family
Name(s) of sibling(s) already at St George’s
and House (if applicable)
Address (including postcode) where the
child normally resides
Home telephone number (with code)
Email address (parent) in CAPITALS
Full names of Parents/Guardians (with
titles)
Mother’s/Father’s name and address if
different from above.
Please indicate who has legal parental
responsibility and whether or not a court order
applies.
Contact telephone numbers (with codes)
Mother Daytime/work:
Mobile:
Father Daytime/work:
Mobile:
Doctor’s name ………………………………………………………………………………
Practice name and address ………………………………………………………………………………
………………………………………………………………………………
………………………………………………………………………………
Telephone number (with code) …………………………………………………………………………..Ethnic/Cultural Ethnicity Our ethnic background describes how we think of ourselves. This may be based on many things, including, for example, our skin colour, language, culture, ancestry or family history. Ethnic background is not the same as nationality or country of birth. The Department of Children, Schools and Families recommends that those with parental responsibility decide the ethnic background for primary pupils. The Information Commissioner (formerly the Data Protection Registry) recommends that young people aged over 11 years old have the opportunity to decide their own ethnic identity. Parents, or those with parental responsibility are asked to support or advise those children aged over 11 in making this decision, wherever necessary. Pupils aged 16 or over can make this decision for themselves. Please study the list below and tick one box only to indicate the ethnic background of the pupil or child named above. Please also tick whether the form was filled in my a parent or the pupil. (a) White (b) Mixed British White and Black Caribbean Irish White and Black African Traveller from Irish heritage White and Asian Gypsy/Roma Any other mixed background Any other white background Italian Turkish (c) Asian or Asian British (d) Black or Black British Indian Caribbean Pakistani African Bangladeshi Any other Black background Any other Asian background (e) Chinese (f) Any Other Ethnic Group Country of Birth ………………………………………………………. I do not wish an ethnic background to be recorded This information was provided by: Parent Pupil Any information you provide will be used solely to compile statistics on the school careers and experiences of pupils from different ethnic backgrounds, to help ensure that all pupils have the opportunity to fulfil their potential. These statistics will not allow individual pupils to be identified. From time to time the information will be passed on to the Local Education Authority and the Department for Children Schools and Families _________________________________________________________________________________________ Home Language ……………………………………………………………………………… Other Language ……………………………………………………………………………… (please complete if language is not included in the list below) Does your child only speak English as an Additional Language? YES NO Proficiency in English New to English/Early acquisition/Developing Competence/Competent/Fluent (please circle one) National Identity ……………………………………………………………………………… Religion …………………………………………………………………………….… Denomination (if applicable) ……………………………………………………………………..
Child’s Language Background – PLEASE FILL IN CAREFULLY – YOUR ANSWER MIGHT
NOT BE AS OBVIOUS AS YOU THINK !!
Many children have only ever had experience of hearing English as a spoken language in the family home.
However, many others will have heard another language spoken within the family setting during their
childhood. Please ring any such language below, but only one language, even if the child only
experienced hearing it in early childhood and has English as their native and fluent language. If your
child heard several such languages during their childhood, ring the language other than English to which
they had most exposure.
Note that declaring an “additional language” has no bearing on how your child is viewed or setted etc: but it
is vital for us to get a good overall picture of the background of our student body.
English only Do not wish First Language to
Be recorded (refused)
Afrikaans Hindi Portuguese (Brazil)
Akan/Twi-Fante Hungarian Portuguese (any other)
Albanian/Shiqip Igbo Romanian
Amharic Icelandic Romany/.English Romanes
Arabic Italian (Sicilian) Russian
Armenian Italian (any other) Serbian
Bengali (Sylheti) Japanese Shona
Bengali (any other) Kannada Sindhi
Bosnian Kashmiri Sinhala
Bulgarian Katchi Slovak
Caribbean Creole English Kikuyu/Gikuyu Slovenian
Caribbean Creole French Kinyarwanda Somali
Chaga Kirundi Sotho/Sesotho
Chinese (Cantonese) Konkani Spanish
Chinese (Hakka) Korean Sundanese
Chinese (Mandarin/Putonghua) Kurdish Swahili/Kiswahili
Chinese (any other) Latvian Swedish
Chichewa/Nyanja Lingala Tagalog
Croatian Lithuanian Tamil
Czech Luo (Kenya/Tanzania) Telugu
Danish Marathi Thai
Dutch/Flemish Malayalam Tigrinya
Estonian Malay/Indonesian Traveller Irish/Shelta
Filipino Ndebele Turkish
Finnish Nepali Ukrainian
French Pahsto/Pakhto Urdu
Gaelic/Irish Pahari (Pakistan) Vietnamese
German Panjabi (Gurmukhi) Welsh/Cymraeg
Greek (Cyprus) Panjabi (Mirpuri) Wolof
Greek (any other) Panjabi (any other) Xhosa
Gujarati Dari Persian Yoruba
Hausa Persian/Farsi (any other) Zulu
Hebrew Polish
Other Language ………………………………………………………………………………………
(please complete if language is not included in the list above)Lunchtime arrangements at St George’s:
Free Meal Packed Lunch
Home School meal
______________________________________________________________________________________________
Intended Mode of Travel to St George’s School (Please tick only one box)
Boarder (not applicable) Dedicated School Bus
Bus Other
CarShare Public Bus Service
Car/Van Taxi
Bicycle Train
Walk
Name and address of your child’s present school:
…………………………………………………………………………………………………………….
……………………………………………………………………………………………………………
……………………………………………………………………………………………………………
……………………………………………………………………………………………………………
Telephone Number: ……………………………………………………………………………………
Date of Starting: ……………………………………………………………………………………
Date of Leaving: ……………………………………………………………………………………
I agree/do not agree to my child participating in any short visits to local venues and any sports activities
and/or fixtures on or off site which may be arranged during his/her time at School, without the need for
further written permission or notification. Trip insurance will not be taken out for these events.
Signed ................................................................................. (Parent/Legal Guardian) Date ..............................I
ST GEORGE’S SCHOOL Miss Helen Barton MA
Headmistress
This paperwork is designed to be compliant with the GDPR and Protection of Freedoms Act.
INFORMATION FOR STUDENTS AND PARENTS OF STUDENTS ATTENDING ST
GEORGE’S SCHOOL 2021-22
Occasionally, we may take photographs of the children at our school. We may use these images in
our school prospectus or in other printed publications that we produce, as well as on our website
and social media platforms.
We will not use the personal details or full names (which means first name and surname
together) of any child in a photographic image on video, on our website, in our school prospectus
or in any of our other openly available publications. We may use group or class photographs or
footage with very general labels, such as “a Science class” or “the 1st Lacrosse XII”. We will not
include personal email or postal addresses, or telephone or fax numbers on video, on our website, in
our school prospectus or in other openly available publications. In general, we will be providing a
much higher level of care in what we post than students sadly largely apply to themselves! You will
understand that with social media a part and parcel of modern life, we do not want to miss out on
the opportunities these platforms can give to share positive news and celebrate achievement of all
To comply with the General Data Protection Requirement, we need your permission before we can
photograph or make any recordings of your child apart from any needed for the fundamental
functioning of the school as an educational establishment (for instance so that staff can have photo
class lists to learn names, so that students can have photo id badges in the 6th form, and so on).
You will understand that it would be very helpful to the school if ALL parents/students were to
grant the level of permission we are requesting – otherwise, logging and tracking which children
can and cannot be photographed will pose a considerable challenge.
Further details of how we process imagery, who has access to it and control of its use, etc, can be
found in the school privacy notice and the information security policy.
Note that you can in law amend any consent given below at any time and without giving your
reason.
If you are minded to withhold consent, please be aware that a call to the schools Data Protection
Officer (DPO) may allow us to reassure you and allay concerns.
From time to time, our school may be visited by the media who will take photographs or film
footage of a visiting dignitary or other high profile event. Pupils will sometimes appear in these
images, which may appear in local or national newspapers, or on televised news programmes or
internet platforms. In such cases we will always seek separate permission from students (aged
13 or over) or parents (up to age 13) regarding what identifiable data can be given.Name of STUDENT (Block capitals)
Date of Birth House
Name of Parent/Guardian
Having read the statement above, do you give your consent for photographs or other images
to be taken and used? (please tick the appropriate box)
YES, I give my consent for pictures to be taken and used. This includes the following media or
platforms (PLEASE TICK ALL OF THOSE YOU ARE AUTHORISING):
The School website
The school prospectus and similar materials
The School Facebook page
Twitter accounts controlled by the Head and other
staff in their professional role
Instagram accounts controlled by the Head and
other staff in their professional role.
**Should you decide not to give permission for some platforms, it is easier for the school to
decline permission for all photos**
NO, I do not give my consent for pictures to be taken and used beyond those narrowly
needed for the school’s core functions.
If withholding permission on behalf of a child under 13, please make your child aware of the
limits you are setting, and of the situations they may need to step back from to help us avoid a
breach e.g. when team or music group or drama cast pictures are done, or group photos on an
educational visit.
Biometrics
I understand that St George’s school will capture and retain the biometric data of such students who
choose to use school paid catering and library facilities, and that this is done by converting a finger
scan into a numerical form. This system takes measurements of your child’s finger and converts
these measurements into a template (a string of numbers), which is then encrypted. The data held
cannot be used to recreate a fingerprint image, nor can it be used in a forensic investigation. An
image of your child’s fingerprint is not stored. The template is used to permit your child to
access to the catering and library services by placing their finger on a scanner at the point of sale or
service. (Please note that this registration also applies to boarders even though meals are included
in termly fees).
Under the GDPR and Protection of Freedoms Act I tick YES
to confirm the school has my child’s and my permission
to capture and retain this biometric data for this use
Signature of Parent/Guardian
(this is the substantive signature until
the child reaches the age of 13)
Signature of Student
(this is the substantive signature once
the child reaches the age of 13)
DatePlease read and sign the document below. You will only have to do this once in your time at St
George’s School, however the document is reviewed annually and minor changes may take place.
To ensure that you are fully aware of the current Acceptable Use Guidance a copy of the most
recent version is printed in your prep-book. Please ensure you re-read the document each
September, when you receive your new prep-book, and sign the prep-book copy.
Acceptable Use of the Pupil Computer System at St George’s School
This policy is applicable to any Information and communication technology that is brought onto
school site. Pupils should be aware that the school will discipline pupils uploading material
associated with St George’s School from a source outside of the school premises.
1. I will not browse, download or upload material that the school considers offensive or illegal.
If I accidentally come across any such material I will report it immediately to a member of staff. If
I am unsure about any material that I have access to I will seek advice from a member of staff.
2. I will not attempt to gain unauthorised access to the St George's network or to any other
computer system found on the Internet.
• I will not attempt to log on using another person's username and password with or without
their permission.
• I will not attempt to access, view, alter or delete another person's files.
• In short I will access only my own area of the network using my password. I am responsible
for keeping my password secure, and for ensuring it is changed on a regular basis.
3. I will remember that anything that is sent out from the St George's school lCT network
represents the school. I will be responsible in my use of the network, including the internet. This
includes the resources I access, material I upload, and the language I use. Offensive and threatening
behaviour/language is not appropriate.
4. In school I will only use the Internet for educational use. I will not use it to, purchase or sell
goods, for financial gain, or for advertising. Using the Internet for other purposes is only allowed if
you have sought permission from a member of staff.
5. I will not take information from the Internet and pass it off as my own work.
6. I will not bring into school any portable storage medium with the intention of placing files
on to the school network unless they are directly lesson related and permission has been granted by
a member of the staff.
7. I will report any misuse of the school computer system immediately to a member of staff.
8. I understand that all of my use on the Internet and other related technologies can be
monitored and logged and can be made available to appropriate staff.
9: I will not use a “proxy server” to access the internet while in school.
I have read and understood the ICT Acceptable Use Policy. I understand that these rules are
designed to keep me safe and that if they are not followed school sanctions will be applied and my
parents/carer may be contacted.
Pupil signature: Pupil Name:
(Block Capitals)
Date:Please fill in the final section in carefully. You will have the chance to update it during the
year as necessary. This paperwork is designed to be compliant with the GDPR and Protection
of Freedoms Act. You are advised to keep a copy of this form as a record of your and your
child’s permissions.
SG7a St Georges School Student Information Form
To be completed by the parent/adult responsible for a student (and the student if aged 13 or over)
Child/Young Person’s full name:
Date of Birth: Year: Tutor Group:
Does the above person:
Have a medical condition requiring medical treatment of medication? Y/N
Have an allergy to certain medications? Y/N
Is he/she able to administer their own medication? Y/N
Please give details of any medical condition/treatments or allergies below:
Does he/she have any special dietary requirements? If yes, give details:
Tick the boxes if one or both these statements apply:
I confirm that my child uses an adrenaline auto injector pen
(EPIPEN/JEXT/EMERADE) and will be carrying 2 in date at ALL times (including
school trips). I will ensure I provide the school with an Allergy Action Plan and will
inform the school of any future changes
I confirm that my child has asthma and carries their in date medication at ALL times.
I will ensure that I provide the school with an Asthma Action Plan from my GP
surgery and will inform the school of any changes
I wish to draw the following to the schools attention (e.g. phobias, travel sickness, toileting
difficulties, sleep walking, recent operations or treatments, other conditions that may affect
fitness to participate in certain activities:
I do/do not* give permission for paracetamol to be dispensed by the member of staff with
responsibility for medical matters if he/she sees fit, whether in school or on a visit.
*Please delete one
Date of last immunization against tetanus:
SWIMMING ABILITY Please detail the child’s/young person’s swimming ability below:EMERGENCY CONTACT INFORMATION
FOR BOARDERS WHOSE PARENTS LIVE OUTSIDE OF THE UK, ONE OF THESE CONTACTS MUST BE
THE NOMINATED GUARDIAN
1 Name: 2 Name: 3 Name:
Relationship: Relationship: Relationship:
Address: Address: Address:
Home Telephone: Home Telephone: Home Telephone:
Mobile Telephone: Mobile Telephone: Mobile Telephone:
MAIN HOUSEHOLD EMAIL ADDRESS:
PASSPORT DETAILS
Passport Number: Date of Expiry:
Nationality if not British**:
Name on passport if different to that used in school:
**Note students need individual proof of right to permanent residence in the UK if they are to
travel abroad and are not a British passport holder. Tick to confirm your child has this:
DECLARATION:
I confirm that all the details on this form are correct.
I undertake to inform the school before each visit of any changes to these details.
I consent that this data may be shared with others where needed for the safety of the
student to which it applies; including with medical staff in emergency, and with other
organisations as specified in the Privacy Notice on the school website.
Parent/Guardian signature ……………………………………………….
Relationship: Date:
Address:
Postcode:
Telephone number:
Student signature ……………………………………………….
(if aged 13 or over)You can also read
