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Admissions Forms for Years 3 to 6

Please complete the below forms before your child’s first day of school. These forms are for all children joining in Years 3 to 6. Please ensure you click submit after each individual form, thank you.

  1. Medical Information and Consent
  2. Food Allergies and Intollerances
  3. Emergency Contacts
  4. Paying School Fees
  5. Paying by Direct Debit
  6. Pupil Image Consent
  7. Permission for another adult to collect my child from school
  8. Trips/Circulation of Details Permissions
  9. Ethnic Background
  10. E-safety and Acceptable Use Acknowledgment
  11. Chromebook Agreement
  12. Swimming Competency

Medical Information and Consent

Please be advised, this is a long form with many required fields marked with a red star. If a required field is left incomplete the form will not submit to the School Office.

Child's Name

Medical History

Please tick if your child has suffered from any of the following, past or present

Allergies

Has this allergy been diagnosed by a doctor? If so, please provide a letter from the practitioner detailing the condition and any diet/information sheets received. Hard copies can be sent to the school or emails can be forwarded to schoolnurse@manorprep.org

Does your child require an Adrenaline Auto Injector (AAI)?
If you have a prescribed AAI, do you give permission for the school to administer your child's prescribed AAI if necessary?
The AAI must be supplied to the school in its original packaging labelled by the GP, in date and bear the name of the child to whom it refers.

Permission to administer The Manor's Emergency Adrenaline Auto Injector (AAI)

For children with prescribed AAI's. In the event of my/our child showing signs of severe allergic reaction, we/I give consent for my/our child to receive Epipen Junior 150mcg/ Epipen 300mcg via AAI and held by the school for such emergencies, as appropriate.
This permission is valid until my/our child leaves the school.
We agree to inform the school if at any time there are contra-indications to the above medicine.

Dietary Requirements

Does your child require a special diet?
Is this request for special dietary requirements the result of one of the below? Please tick
If for medical reasons, please request and complete the Holroyd Howe form from our School Nurse so that the kitchen can be informed. Email schoolnurse@manorprep.org

Medication

Please complete a 'Request to give Medication' form when handing in medication to the School Nurse. This form can be found on the school website or in the School Office. For Pre-Nursery and Nursery children please liaise with your child's Key Person.

If you require the school to administer any medication during the school day, it will only be administered if the 'Request to give Medication' form has been completed and signed by a parent. For Prescribed Medication and Pharmacy Recommended Medication the medicine must be in date, in its original packaging and with clear dosage and storage instructions. It must be labelled by the GP/Pharmacy and must bear the name of the child to whom it refers.

Permission to administer Calpol Infant Suspension/Calpol 6+/Piriton

If my/our child is obviously in distress from an allergic reaction, high temperature, or is in pain we/I give permission for the school to administer Calpol/Piriton. The school will contact you by telephone to confirm this before administering the medication on each occasion.

This permission is valid until my/our child leaves the school.

We agree to inform the school if at any time there are contra-indications to the above medicine.

Permission to give Calpol/Piriton

Consent for Emergency Salbutamol Inhaler for children diagnosed by a doctor with asthma

I can confirm that my child has been diagnosed with asthma by a doctor and has been prescribed an inhaler.

Consent for Emergency Treatment

I authorise the school, every effort having been made to get in touch with us first, on the advice of a doctor and medical staff of the hospital, to give permission on my behalf for any emergency treatment.

To ensure all staff are aware of your child’s medical/dietary needs, their photograph will be circulated to all relevant staff and displayed in the appropriate areas of the school. Please contact the School Nurse if you would prefer this not to happen.

Confirmation
Parent's Name

Food allergies and Intollerances

Name of Child
Checkboxes
Checkboxes

5. Pre-plated meal

Where a pupil’s requirements are complex (for example multiple allergies, severe allergies which have been medically diagnosed or medically diagnosed allergens that do not fall under the 14 listed allergens of the Food Information Regulations), it may be necessary to provide the pupil with a plated meal. The menu cycle for this pupil will be planned, and a meal will be prepared in a separate area or at a separate time from the meals containing the pupil’s allergens. The meal will be wrapped and labelled to protect it from cross-contamination and checked by two members of the catering team

Parent/Guardian Acceptance

Whilst Holroyd Howe can provide meals which do not include nominated allergens, we cannot guarantee that dishes do not contain traces of allergens, as they will be stored and prepared in the same areas as nominated allergies. There is a risk of cross-contamination on display counters, particularly self service areas such as salad bars and dessert counters. Please be aware that while Holroyd Howe do not use nuts in any of the food they prepare and serve they are unable to guarantee that dishes/products served are totally free from nuts/nut derivatives, due to the use of precautionary allergy statements such as ‘may contain’ which are used by their suppliers. Once this completed form has been received, a meeting can be arranged between the catering manager, school and the parent/guardian to discuss your child’s food requirements in more detail.
All information will be shredded when either confirmation of no allergens or intolerances, or when your child leaves the school.
Confirmation
Parent's Name

Emergency Contacts

Child's Name
Name of emergency contact (other than parents)

Third Contact - to be used in an emergency and must be UK based

Paying School Fees

Fee accounts are payable in advance and due by the first day of each term.


  1. Termly Direct Debit
    The amount due for school fees paid by termly direct debit will be collected from your bank on the first day of each term. No other notification will be sent.
  2. Monthly Direct Debit
    We accept payment of a particular school term’s fees by four instalments during that term which would be taken on or after the 3rd of each month. The Autumn Term is collected in August, September, October and November; Spring Term in December (as soon after the end of term as possible), January, February and March; Summer Term in April, May, June and July. Parents have the option to pay for tuition fees only by Direct Debit or tuition fees and all extras. Please indicate your preference on the direct debit form
Child's Name
Parent's Name

Paying by Direct Debit

To pay your fees by Direct Debit, please print, complete and return form below to The Bursary at the address provided as soon as possible.

Direct Debit Form

Pupil Image Consent

Pupil Image Consent

Please complete the permission form having read the Pupil Image Consent Letter below regarding the use of your child’s image (photo or video) and as described in the school’s Privacy Notice.

Pupil Image Consent Letter

For events involving swimmers, photographs and video recording are not permitted under any circumstances.

Parents are not to use their mobile phones for any purpose in the presence of Early Years Foundation Stage children (Pre-Nursery to Reception) except where staff have advised this is appropriate.

Please now complete the following form

Child's Name
(i) Internal Use
(ii) External Use
Parent's Name

I understand that if consent is given, I may withdraw this at any time in the future by sending an email to Katherine Sherbourne - ksherbourne@manorprep.org

The school uses CCTV cameras which will capture pupils around the site.

Permission for other adults to collect my child from school

Please list the names of adults who have your permission to collect your child

Child's Name

Parent's Name

Trips/Circulation of Details Permissions

Child's Name

1. Trips


This is a permission request to cover your child being taken on school trips, as well as to swimming lessons, Forest School and sports fixtures (both in and outside of school hours) during his/her time at The Manor. This will apply for trips within the UK and we will send you details of all trips before they take place. We will inform you about each individual trip but unless your child is in Nursery or Reception, we will not trouble you for permission slips for each trip. However, for residential trips we do require your written permission (the signature of both parents is required if the trip is outside the UK). An outline of each year group's trips appears in the Parents' Handbook, though this is subject to change.

Trips during normal school hours: These are covered by the fees therefore there is no extra charge.


Residential Trips (UK and overseas): Chargeable and added to your bill.


Other Trips (voluntary/out of normal school hours): Chargeable and added to your bill.


The bus companies we use all have appropriate safety restraints (seat belts or lap belts) and the children will be expected to use them at all times, unless written permission is received from you stating otherwise.


Any child who requires an inhaler or AAI will not be allowed off site without them.


Please note that for all trips where home packed lunches are permitted, these must be nut-free.


Parents/Guardians of children in the Early Years (Pre-Nursery, Nursery and Reception classes) will be required to complete a signed consent form for each outing, as well as for swimming lessons.

You can, if you wish, tell the school that you do not want your child to take part in any particular school trip or off site activity.

I/We give permission for my/our child to take part in trips and outings during his/her time at The Manor as described above
I/We give permission for my/our child to be taken out of The Manor for spontaneous supervised activities or visits which may take place in the immediate locality of the school during normal school hours
I/We will ensure that school will always have my/our correct and up-to-date contact details
I/We are happy for our contact details to be shared with my child(ren)'s Class Representative
Parent's Name

Ethnic Background

All schools are now required by the Department for Education to record the ethnic background of your child and any languages spoken. To quote from their rubric “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.”

Any information you provide will be used solely to compile statistics on diversity within the School. These statistics will not allow any individual children to be identified.

Child's Name
Gender
Parent's Name

Chromebook Home School Agreement

Chromebook Home School Agreement

Please click on the below link to read the agreement

The Manor Chromebook Home School Agreement

Once you have read the agreement all parents are required to please complete the Chromebook Home School Agreement Form.

Agreement
Pupil's Name
Parent's Name

E-Safety and Acceptable Use Policy and Acknowledgment

E-Safety Agreement and Safe Use of the Internet

Please click on the link below to read the letter from our Deputy Head Pastoral with regards to safe use of the internet:

E-Safety Agreement and Safe Use of the Internet Letter

Once you have read the letter and discussed section D of our E-Safety and Acceptable Use Policy with your child/ren, all parents are required to please complete this E-Safety and Acceptable Use Policy Acknowledgement Form.

E-Safety and Acceptable Use Policy Acknowledgement

Child's Name
Year 1 to 6 Parents
Parents Name

Swimming Competency

Please complete the below Swimming Lessons form if your child is joining Reception or above. The school provides ‘noodles’ to support pupils who lack confidence.

Please be aware that The Manor takes children off site for swimming. Your child may be out of their depth in the the pool and may not be tall enough to stand, even in the shallow end.

Child's Name
Parent's Name

Maths Information

Maths Information

Please could we ask all parents joining Years 1-4 to read and digest the following Maths letter – Years 1-4 Abacus Maths

Please compete the below forms if appropriate:

  1. Instrumental Music Lessons
  2. Tax-Free Childcare Scheme, Childcare Vouchers Information and Application Form
  3. School Shop Order Form
  4. Manor Association of Parents (MAP) Volunteer Form

Instrumental Music Lessons

Instrumental Music Lessons

Please read the below Music Lessons letter before completing the Instrumental Music Lessons form below.

Year 3-6 Music Lesson

Instrumental Music Lessons Form

Child's Name
Does your child already have music lessons outside of school and you wish to transfer them to The Manor?
Parent's Name

School Shop Order Form

Child's Name
Compulsory Items
Additional Items Available
Extras
Confirmation
Parent's Name

Tax-Free Childcare Scheme and Childcare Vouchers

Tax-Free Childcare Scheme and Childcare Vouchers

If you would like to pay for your child’s fees using Childcare Vouchers, please read the below information before completing the following application form.

Childcare Vouchers

Childcare Vouchers Application Form

Child's Name
Parent's Name

Manor Association of Parents Volunteer Form

MAP Volunteer Form

The Manor Association of Parents (MAP) is the hub of our parent community which we rely on for welcoming new parents, organising and supporting social events for families, parents and children and helping with fund-raising endeavours… amongst other things! If you would like to get involved in any way, please complete this form and we will get in touch with you to see what role you could play. Thank you.
Parent's Name
1. Child's Name
Preferred method to be contacted on

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