Forms – St John's RC School

Request for Absence Form

After you submit the form, we will contact you as soon as possible. Alternatively, download and complete the Request for Absence Form and hand in or post it to us.

Name of Pupil*

Your Email Address*

Start Date of Absence*

End Date of Absence*

Reason for Absence*

This field should be left blank

Pupil Information Form

This form requires completion annually in September. If any of these details change during the course of the school year you agree to inform the school office immediately.

Please complete all fields, this will help us update our records. After you submit the form, we will notify you when the details have been updated. Alternatively, download and complete the Pupil information form and hand in or post it to us.

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Contact Details

Pupil's Name*

First

Last

Date of Birth*

First Language*

Gender*

Home Language*

Language used at home

Country of birth*

Religion*

Address*

Address Line 2

Town/City*

Post Code*

1st Contact (Parent/Carer)

Parent / Carer Name (1st contact)*

First

Last

Email address*

Mobile Number*

Work Number

Address (only complete if different from Pupil)

Address Line 2

Town/City

Post Code

2nd Contact (Parent/Carer)

Parent / Carer Name (2nd contact)

First

Last

Email address

Mobile Number

Work Number

Address (only complete if different from Pupil)

Address Line 2

Town/City

Post Code

Other alternative emergency contact

Name

First

Last

Relationship to Pupil

Email address

Mobile Number

Work Number

Address (only complete if different from Pupil)

Address Line 2

Town/City

Post Code

Medical Contacts

Name of Medical Practice

Name of Doctor

Doctor Phone Number

Doctor Address

Town/City

Post Code

Name of Consultant / Paediatrician (if your child attends hospital)

Pupil NHS Number

Name of Social Worker (if applicable)

Social Worker Phone Number

Social Worker Email Address

Medical Details

Is your child at present under treatment for any medical condition/s?*

Yes

Please note that we cannot administer any non-prescription medication in school. This includes Piriton or paracetamol.

Please provide details of the medical treatment*

Does your child have any pre-existing medical conditions that requires daily medication?*

Yes

Please note that we cannot administer any non-prescription medication in school. This includes Piriton or paracetamol.

Condition*

Medication*

Dosage amount & times*

Does your child have epilepsy?*

Yes

Last Fit Date*

Any warning signs*

Symptoms when fit takes place*

Does your child suffer from asthma?*

Yes

Condition*

Medication*

Dosage amount & times*

Is your child allergic to any medication?*

Yes

Please provide details of the allergy to any medication*

Does your child have any known non-food allergies?*

Yes

Please provide details of any known non-food allergies*

When did your child last have a tetanus injection?

Are there any specific activities in which your child, for medical reasons, cannot participate?*

Yes

Please provide details of any specific activities in which your child, for medical reasons, cannot participate*

Other Information

Does your child have a disabled parking badge?*

Yes

Does your child have an oyster card?*

Yes

Does your child have a freedom pass? *

Yes

Is your child entitled to free school meals?*

Yes

Please indicate lunch preference*

Packed Lunch

School Meal

Please indicate if your child has the following allergies

Artificial colouring allergy

Nut allergy

Seafood allergy

Please indicate if your child needs the following dietary requirements

Gluten free (not allowed to eat items made with flour: No fish fingers, chicken nuggets, pizza)

Dairy free (not allowed yoghurt, ice-cream, cheese)

Pork free

Halal (We do not provide Halal meat, students with this requirement will be given a vegetarian meal)

Kosher

Vegetarian (Only allowed to eat fruit, vegetables with no meat, fish or poultry)

Permission Form

Travel in the school minibus (all fitted with seat belts)*

Yes

Take part in off-site curriculum activities*

Yes

Take part in swimming lessons*

Yes

Have his/her photograph taken for local publicity, e.g. in connection with fundraising activities, sports events or presentations*

Yes

In an emergency, if every reasonable effort has been made to make contact, for the school to authorise medical treatment on my child*

Yes

Your Name

First

Last

Date*

This field should be left blank

Pupil Information Update Form

Pupil's Name*

First

Last

Pupil's Date of Birth*

Class

Your Name*

Email address*

Relationship to the Pupil*

Parent

Carer

Other

If "Other" please specify.

Previous Information*

New Information*

This field should be left blank

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