Pupil Data Form

Personal Details

Child's Name(Required)

Medical Details

Surgery Address(Required)

Parental Responsibility and Emergency Contacts

Address (Contact 1)(Required)
Address (Contact 2)(Required)

Additional Contacts

Photographic Permisssion(Required)
DD slash MM slash YYYY
I give permission for my child to be registered on the school biometric system.
DD slash MM slash YYYY

Lunch & Travel Arrangements

Lunch Arrangements(Required)
Travel Arrangements(Required)

Ethnic Origin & Religion

Ethnic Origin(Required)

Other Details:

Parent/Carer, member of Armed Forces
Has your child ever been under
Have they ever been subject to any of the following orders
DD slash MM slash YYYY

If any of the above details change, please inform the school in writing as soon as possible, or email info@saddleworthschool.org