Registration Forms

This form is to be completed only if your child has been offered a school place at Green Lanes.
If you wish to apply for a school place, you will need to complete an application online through Hertfordshire County Council https://www.hertfordshire.gov.uk/services/schools-and-education/school-admissions/school-admissions-and-transport.aspx

Student's Details

Child's First Name (as registered on their birth certificate)* Child's Middle Name (if applicable) Child's Surname (as registered on their birth certificate)* If your child is known by any other name, please enter the details here Gender (Female/Male)* Date of Birth* Please upload a copy of your child's Birth Certificate No file chosen Country of Birth* Ethnicity* Nationality* Home Language (First Language spoken at home)* Any other language/s spoken at home Religion Home Address* Second Address (if shared parenting)

Parent/Carer Details: First Primary Contact

Full Name (First Name and Surname)* Salutation (Mr/Mrs/Miss etc)* Home Address* Email Address* Mobile Number* Home Telephone No. Work Telephone No.

Parent/Carer Details: Second Primary Contact

Full Name (First Name and Surname) Salutation (Mr/Mrs/Miss etc) Home Address Email Address Mobile Number Home Telephone No. Work Telephone No.

Emergency Contact

Please provide a name of an alternative contact should we be unable to get hold of you in an emergency What is their relationship to your child? (e.g. grandparent, aunt/uncle, sibling, neighbour, family friend etc.) Please provide their contact telephone number/s

Who can collect your child from school?

List the name/s of any other adults who have permission to collect your child from school (if it is a one-off pick up, please contact the School Office to pass on the message to the class teacher) If your child has a childminder, please give their details below Please provide us with a security password for anyone else collecting your child*

Language

Home Languge (this is the language you mostly speak at home)* Other Language/s (please specify) Is English an Additional Language (EAL)?*

English Profiency (please tick those applicable)*My child can read EnglishMy child can write EnglishMy child understands spoken EnlishWe speak English at homeMy child is fluent in EnglishNone of the above

Derived Background

Are you eligible to receive benefit related Free School Meals? This is different to the Universal Infant Free School Meals Scheme for all pupils in Reception, Year 1 and Year 2. Benefit related Free School Meals is additional financial support e.g. free trips, free dinners, free milk, uniform voucher etc. Please check your eligiblitiy through Hertfordshire County Council https://www.hertfordshire.gov.uk/services/schools-and-education/at-school/free-school-meals/free-school-meals.aspx or through the FSM Eligibility Checker https://pps.lgfl.org.uk/.YesNo

Children in Public Care: Is your child looked after, or was previously looked after and is now adopted, or with a child arrangement or special guardianshop order? If you answered YES to Children in Public Care, please upload a copy of the child arrangement or special guardianship order. No file chosen At risk: Is your child or their sibling subject to an inter-agency child protection plan and has been placed on the Child Protection Register? Does your child have an Educational Health Care Plan (EHCP)?

Medical Details

Does your child have a medical condition or conditions? Please give details below. If your child requires a Health Care Plan we will be in contact with you to arrange a meeting.* Does your child take any regular presribed medication? If Yes, please give details below

Does your child have any of the following?*Auto-injector (e.g. EpiPen or Jext Pen)Inhaler (Asthma)Medication for diabetes / epilepsy / ADHD that will need to be taken during the school day

What GP surgery is your child registered with?* What is your child's NHS number?* Dietary requirements: If your child has allergies, intolerance or religious preferences you will need to apply for a Special Menu with Hertfordshire Catering Limited. To apply please visit Herts Catering Limited. We are a NUT FREE school therefore nuts in any form or products containing nuts are banned. Please list any dietary requirements and/or food allergies and intolerances that we should be aware of. Has your child received all relevent immunisations? Please upload a copy of your child's immunisations details (in red book) No file chosen

Other Information

Does your child have a sibling or siblings at Green Lanes School? Please give their name/s* Will your child be attending Little Lanes before or after school club? If Yes, please give details of days / times

Previous Education

Please list the previous schools and nurseries that your child has attended including date period. Most recent setting listed first. You may also list childminders and their contact details.*

Parent/Carer Consents

At Green Lanes Primary School, we use G Suite for Education, and we are seeking your permission to provide and manage a G Suite for Education account for your child. G Suite for Education is a set of education productivity tools from Google including Gmail, Calendar, Docs, Classroom, and more used by tens of millions of students and teachers around the world. At Green Lanes Primary School, students will use their G Suite accounts to complete assignments, communicate with their teachers, and learn 21st century digital citizenship skills. The notice, Google Classroom at Green Lanes (available on the school website) provides answers to common questions about what Google can and can’t do with your child’s personal information, including: • What personal information does Google collect? • How does Google use this information? • Will Google disclose my child’s personal information? • Does Google use student personal information for users in K-12 schools to target advertising? • Can my child share information with others using the G Suite for Education account? Please read it carefully, let us know of any questions, and then sign below to indicate that you’ve read the notice and give your consent. If you don’t provide your consent, we will not create a G Suite for Education account for your child. Should you not wish for an account to be created the school will do our best to help you access work and homework for you child. The School office will help you with this. For more information click here I give permission for Green Lanes Primary School to create/maintain a G Suite for Education account for my child and for Google to collect, use, and disclose information about my child only for the purposes described in the notice.* Is there any other information you would like to share with us about your child? Declaration: The information I have given on this form is complete and accurate. I understand that my personal information will be held securely and will be used only for local authority purposes. The school will not use the data for any other purpose, nor will the school share your data with any third parties other than the Department of Education (for statutory reporting), Hertfordshire County Council Departments and Educational Services that are relevant and/or a benefit to your child, and assisting families to access the services that children are entitled to (i.e. Free School Meals). I agree to Green Lanes School using my information (DOB and NI number) to consider an application for Free School Meals.* Data Protection: In accordance with General Data Protection Regulation, the school has a duty to protect this information and keep it up to date. The school is required to share some of the data with the Local Authority, NHS and DfE. I confirm I have read the School's Privacy Notice Green Lanes School Privacy Notice.* Name of parent/carer completing this form* Date form completed*