Admissions Form

Motcombe School Admissions Form

MOTCOMBE SCHOOL ADMISSIONS FORM
Date of Admission (Office Use Only)
CHILD'S DETAILS
Child's Legal Surname
Child's Legal Forename
Child's Preferred Surname (if different from above)
Child's Preferred Forename (if different from above)
Child's Date of Birth
Gender
Please provide other information regarding Gender if necessary
Address
Address Line 1 Address Line 2 Town County Postcode
Home Telephone Number
Is this address:
Child's Previous School Name and Address
Address Line 2 Town County Postcode Telephone Number
Nursery/Pre-School details (for Foundation Stage children only)
Address Line 1 Address Line 2 Town County Postcode
PARENT INFORMATION
PARENT 1 Name: (school information will be sent to this parent)
Parent 1 Mobile Number
Parent 1 Work Number
Parent 1 Email Address
Parent 1 Address
Address Line 1 Address Line 2 Town County Postcode
Parent 1 - Parental Responsibility
Parent 1 - National Insurance Number

By completing this information we can check whether your child qualifies for Pupil Premium which gives additional funding to the school to support the children.
Parent 1 - Date of Birth
PARENT 2 Name
Parent 2 Mobile Number
Parent 2 Work Number
Parent 2 Email Address
Parent 2 Address (if different from Parent 1)
Address Line 1 Address Line 2 Town County Postcode
Parent 2 - Parental Responsibility
Parent 2 - National Insurance Number

By completing this information we can check whether your child qualifies for Pupil Premium which gives additional funding to support the children.
Parent 2 - Date of Birth
Further Information regarding Parental Responsibility (if applicable):
Does your child have any brothers or sisters attending Motcombe? If yes, please provide their full name/s and date/s of birth.
School receives funding for families who are in the Armed Forces, for Looked After Children, adopted children (UK) and children with a Special Guardianship Order. Please indicate below if this applies to you:
EMERGENCY CONTACTS
Please list your emergency contacts (including yourself) in priority order. Contact 1 - Name
Contact 1 - Relationship to Child
Contact 1 - Telephone/Mobile Number
Contact 2 - Name
Contact 2 - Relationship to Child
Contact 2 - Telephone/Mobile Number
Contact 3 - Name
Contact 3 - Relationship to Child
Contact 3 - Telephone/Mobile Number
Contact 4 - Name
Contact 4 - Relationship to Child
Contact 4 - Telephone/Mobile Number
Please give details of any other adults we should be aware of (eg. step parents/other regular carers)
ADDITIONAL NEEDS
Additional Support - Does your child have an Education, Health and Care Plan (EHCP)?
If your child is receiving extra support at school please provide details
Medical Details
- ADHD
- ASD
- Epilepsy
- Asthma
- Excema
- Hayfever
- Dyslexia
- Dyspraxia
- Colour blindness
- Eyesight problems
- Hearing problems
- Diabetes
Please select any of the above medical conditions your child has.
If there are any other medical conditions that we should be aware of please specify here. (Please provide GP/hospital letter with confirmation of this)
Medication - please provide details of any ongoing medication that your child requires
EMERGENCY TREATMENT
Emergency Treatment - I/we agree to my child receiving emergency hospital treatment should it be considered necessary and to a member of school staff signing the consent form if I am/we are unable to be contacted.
- Agree
- Do not agree
Doctor's Details
Address Line 1 Address Line 2 Town County Postcode
Community Nursing - I agree to my child having Community School Nursing team health checks
DIETARY REQUIREMENTS
Dietary Needs
- Vegetarian
- Vegan
- Pescatarian
- No Dairy
- Gluten Free
- No Eggs
- No Dairy
- No Pork
- No Beef
- Nut Allergy (please specify below)
- Fruit Allergy (please specify below)
- Seafood Allergy (please specify below)
- Artificial Colouring Allergy (please specify below)
Please tick if your child has any of the above dietary needs
Please provide further information on dietary needs, if necessary
SUPPORT
Any involvement from external agencies
- Speech Therapy
- Occupational Therapy
- Physiotherapy
- Social Worker
- CAMHS
- Educational Psychology Service
Please provide details of this involvement
ETHNICITY
Pupil's First Language (the language your child speaks most fluently)
Parent 1 - First Language
Parent 2 - First Language
Language spoken at home
Religion
Please select one:-
White
Mixed
Black or Black British
Asian or Asian British
- Prefer not to say
Are you Asylum Seekers
Are you Travellers
FURTHER INFORMATION
Please provide all addresses your child has lived, prior to your current address. Please also provide dates.
Address 2
Address Line 1 Address Line 2 Town County Postcode
From:
To:
Reason for Moving:
Address 3
Address Line 1 Address Line 2 Town County Postcode
From:
To:
Reason for Moving:
Address 4
Address Line 1 Address Line 2 Town County Postcode
From:
To:
Reason for Moving:
Please list any other Nurseries/Schools attended (if applicable) with dates
Nursery/School Name
Address Line 1 Address Line 2 Town County Postcode
From:
To:
Nursery/School Name
Address Line 1 Address Line 2 Town County Postcode
From:
To:
Nursery/School Name
Address Line 1 Address Line 2 Town County Postcode
From:
To:
ANY OTHER INFORMATION
If there is any other information you wish to share with us (including involvement from outside agencies due to child protection/safeguarding issues) please provide it here.
PARENTAL CONSENT
These are areas where we require your consent to be registered on our system. Please read the information and tick the boxes for each section as appropriate. This consent will remain in force while your child is at Motcombe School unless it is specifically withdrawn by the parent.
School Trips/Educational Visits
- Yes
- No
Throughout each academic year we take children out of school on educational visits which could involve a walk to the park, a visit to the theatre or a coach trip a little further afield. We will inform you of these trips as and when they arise and may also request a voluntary contribution towards the cost. Do you give your consent for your child to participate in these visits?
Using Images of Children
- Yes
- No
Occasionally we may take photographs or video of the children at our school to go on our newsletter and the school website. These images may also be shared on Tapestry (Foundation Stage) and Class Dojo (KS1). Do you consent to your child be photographed or recorded for the above use?
Social Media
Do you give permission for your child's photograph or video to be on our social media pages - Facebook and Instagram?
Community Nursing
- Yes
- No
The Community Nursing Service will automatically offer your child a hearing, vision and growth assessment within their first year of full-time education. Do you consent to your child being seen by the School Health Team?
Thrive Assessment
- Yes
- No
Our staff are trained in the Thrive Approach. Every child needs to feel valued, involved and appreciated. We know more now than ever before about what helps to develop healthy curious minds and happy confident and creative children. The Thrive Approach helps us to understand how we develop socially and emotionally from birth to adulthood. It helps us understand what healthy child development looks like in terms of behaviour and learning. It allows us to interpret children's behaviour and identify particular developmental needs being signalled by their behaviour. It provides appropriate, targeted interventions designed to meet those needs. Do you consent to your child having this assessment and Thrive intervention if necessary?
TAPESTRY - Foundation Stage Only
In Foundation Stage we use an online Learning Journey provided by Tapestry and the Early Years Foundation Stage Forum. As this is an online profile, we will need your permission to set up your child's account. Please rest assured that the information about your child and their learning is secure and is only accessible by the members of staff and yourselves as parents. There may be instances where your child appears in a photograph documenting another child's learning.
Do you consent to your child having a Tapestry Online Learning Journey?
Do you consent to your child's image appearing in photographs/videos in other children's Learning Journey?
Class Dojo - KS1 only
ClassDojo is a school communication platform that teachers, students, and families use every day to build close-knit communities by sharing what's being learned in the classroom home through photos, videos, and messages.
Do you consent to your child having a Class Dojo account?
Do you consent to your child's image appearing in photographs/videos in other children's learning?
Do you agree not to electronically share, by social media or other platforms, any part of your child's learning?
Do you agree to the information we have on record for your child being forwarded to their next school when they leave Motcombe.
Parental Declaration - please sign by putting your name in this box

The details supplied on this form are correct to the best of my knowledge. I understand that the Headteacher must be informed of any changes which might affect my child's education.
Data Protection - Personal information will be held and processed by the school in accordance with the Privacy Notice available here: http://motcombe.e-sussex.sch.uk/wp-content/uploads/2020/03/Motcombe-Data-Protection-policy-for-schools-1.pdf
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Admissions Form

Motcombe School Admissions Form

MOTCOMBE SCHOOL ADMISSIONS FORM

CHILD'S DETAILS

PARENT INFORMATION

EMERGENCY CONTACTS

ADDITIONAL NEEDS

EMERGENCY TREATMENT

DIETARY REQUIREMENTS

SUPPORT

ETHNICITY

FURTHER INFORMATION

Please list any other Nurseries/Schools attended (if applicable) with dates

PARENTAL CONSENT

TAPESTRY - Foundation Stage Only

Class Dojo - KS1 only

Data Protection - Personal information will be held and processed by the school in accordance with the Privacy Notice available here: http://motcombe.e-sussex.sch.uk/wp-content/uploads/2020/03/Motcombe-Data-Protection-policy-for-schools-1.pdf