SCROLL Template library - School Registration forms

Template library - School Registration forms

Primary School Registration Form (Full)

89 questions

No description available.

Back Preview Get SCROLL to use this template
Name Text of question Type of answer Further notes Data source Mandatory?
pupil_forename Forename Text (single-line) CBDS Yes
pupil_middle_name Middle name(s) Text (single-line) Optional CBDS
pupil_pref_name Preferred Name Text (single-line) Optional CBDS
pupil_surname Surname(s) Text (single-line) As stated on Birth Certificate. CBDS Yes
pupil_dob Date of Birth (dd/mm/yyyy) Date CBDS Yes
pupil_gender Is the child a ...? List of choices CBDS Yes
pupil_line1_address House number/name and street Text (single-line) CBDS Yes
pupil_line2_address Name of city or town Text (single-line) Optional CBDS Yes
pupil_postcode Postcode Text (single-line) Yes
pupil_home_tel Home telephone number Text (single-line) Yes
pupil_residence Local Authority of the child's residence List of choices Local Authority to which Council Tax is paid. CBDS Yes
pupil_lives_with Who does the child live with at this address? List of choices Please select all that apply. You will be asked about any other addresses later in this form. CBDS Yes
pupil_country_of_birth Please select the child's country of birth from the list below. List of choices CBDS Yes
pupil_nationality Please select the child's nationality from the list below. List of choices If the child holds multiple nationalities, including British, please select British (United Kingdom) from this list. CBDS Yes
pupil_arrival_in_uk Please enter the date the child arrived in the UK. (dd/mm/yyyy) Date CBDS Yes
pupil_asylum Is the child an asylum seeker? List of choices CBDS Yes
pupil_refugee Is the child a refugee? List of choices CBDS Yes
pupil_nhs_number Child's NHS number Text (single-line) Found on the child's medical card or obtained from your doctor. Yes
pupil_medical_condition Does the child suffer from ANY medical condition, or take medication for any problem? List of choices If you tick any of the following, a letter from your GP or hospital consultant will be required to keep on the child's file.@|Select all that apply Yes
pupil_meds Does your child carry any of the following? List of choices Select all that apply Yes
pupil_diet_needs Does the child have any special dietary needs? List of choices Yes
pupil_medical_support Does the child receive any paramedical support? List of choices These are services which supplement and support medical work but do not require a fully qualified doctor. CBDS Yes
doctor_practice_name Name of the medical practice where the child is registered. Text (single-line) Yes
doctor_name Doctor's name Text (single-line) Yes
doctor_practice_line1_address Building name/number and street Text (single-line) Yes
doctor_practice_line2_address Name of town or city Text (single-line)
doctor_practice_postcode Postcode Text (single-line) Yes
doctor_practice_tel_number Telephone number Text (single-line) Yes
emergency_consent Emergency consent List of choices Do you give consent for the school to act on your behalf in case of an accident or emergency? Yes
pupil_first_language Child's first language List of choices A language that a child is exposed to during early development and continues to be exposed to in the home or in the community.@|@|Note: A child exposed to more than one language (including English) during early development, is deemed to have a first language other than English, irrespective of their proficiency in English. CBDS Yes
pupil_other_language1 Other language that the child is exposed to at home from the list below. List of choices CBDS Yes
pupil_other_language2 If applicable, please select another language that the child is exposed to at home from the list below. List of choices CBDS
pupil_other_language3 If applicable, please select another language that the child is exposed to at home from the list below. List of choices CBDS
pupil_in_care Is the child, or has the child previously been, subject to a Local Authority Care Order? List of choices ie a looked after child Yes
pupil_in_care_local_authority Please provide the name of the Local Authority List of choices CBDS Yes
pupil_in_care_social_worker Social worker’s name and surname Text (single-line) Yes
pupil_in_care_local_authority_date Start date (dd/mm/yyyy) Date CBDS Yes
pupil_sen_statement Does the child have a Statement of Special Educational Needs? List of choices CBDS Yes
pupil_sen_school Please specify school named in the Statement Text (single-line) Yes
pupil_sen_local_authority Name of the Local Authority List of choices Yes
pupil_sen_officer Case Officer’s Name Text (single-line) Yes
pupil_free_school_transport Does the Local Authority provide free school transport? List of choices CBDS Yes
pupil_free_school_meals Is the child eligible for free schools meals? List of choices CBDS Yes
pupil_religion Religion of the child. List of choices Yes
pupil_ethnicity Please study the list below and tick one box to indicate the ethnic background of the child. List of choices Any information you provide will be used solely to compile statistics on the school careers and experiences of pupils from different ethnic backgrounds, to help ensure that all pupils have the opportunity to fulfil their potential. These statistics will not allow individual pupils to be identified. From time to time the information will be passed on to the Local Education Authority and the Department for Education (DfE) to contribute to local and national statistics. The information will also be passed on to future schools, to save it having to be asked for it again. CBDS Yes
adult1_parentalresp Does this person have parental responsibility? List of choices CBDS Yes
adult1_relationship Relationship to pupil List of choices CBDS Yes
adult1_title Title List of choices CBDS Yes
adult1_forename Forename Text (single-line) CBDS Yes
adult1_surname Surname Text (single-line) CBDS Yes
adult1_mobile_number Mobile number Text (single-line) Yes
adult1_email Email Text (single-line) Yes
adult1_same_address_as_pupil Is home address the same as the child's home address? List of choices CBDS Yes
adult1_line1_address House number/name and street Text (single-line) CBDS Yes
adult1_line2_address Name of town or city Text (single-line) Optional CBDS Yes
adult1_postcode Postcode Text (single-line) Yes
adult1_home_tel Home telephone number Text (single-line) Yes
adult1_employment Is this contact in employment? List of choices Yes
adult2 Is there a second adult? List of choices Yes
adult2_parentalresp Does this person have parental responsibility? List of choices CBDS Yes
adult2_relationship Relationship to pupil List of choices CBDS Yes
adult2_title Title List of choices CBDS Yes
adult2_forename Forename Text (single-line) CBDS Yes
adult2_surname Surname Text (single-line) CBDS Yes
adult2_same_address_as_pupil Is home address the same as the child's home address? List of choices CBDS Yes
adult2_mobile_number Mobile number Text (single-line) Yes
adult2_email Email Text (single-line) Yes
adult2_line1_address House number/name and street Text (single-line) CBDS Yes
adult2_line2_address Name of town or city Text (single-line) Optional CBDS Yes
adult2_postcode Postcode Text (single-line) Yes
adult2_home_tel Home telephone number Text (single-line) Yes
adult2_employment Is this contact in employment? List of choices Yes
adult3 Is there a third adult we need to know about? List of choices Yes
adult3_parentalresp Does this person have parental responsibility? List of choices CBDS Yes
adult3_relationship Relationship to pupil List of choices CBDS Yes
adult3_title Title List of choices CBDS Yes
adult3_forename Forename Text (single-line) CBDS Yes
adult3_surname Surname Text (single-line) CBDS Yes
adult3_same_address_as_pupil Is home address the same as the child's home address? List of choices CBDS Yes
adult3_mobile_number Mobile number Text (single-line) Yes
adult3_email Email Text (single-line) Yes
adult3_line1_address House number/name and street Text (single-line) CBDS Yes
adult3_line2_address Name of town or city Text (single-line) Optional CBDS Yes
adult3_postcode Postcode Text (single-line) Yes
adult3_home_tel Home telephone number Text (single-line) Yes
adult3_employment Is this contact in employment? List of choices Yes
declaration_adult1 I confirm by ticking the box below that all the information given in this form is true to the best of my knowledge. List of choices Yes
declaration_adult2 I confirm by ticking the box below that all the information given in this form is true to the best of my knowledge. List of choices Yes
declaration_adult3 I confirm by ticking the box below that all the information given in this form is true to the best of my knowledge. List of choices Yes