Pupil Data Collection Form

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1. Pupil Details

2. Medical Information

3. Lunch Arrangements

4. Photographs

I give permission for the school to take pictures/videos of my child, I understand that these images will only be used for publicity to celebrate successes and to promote the schools work via the following means:-

5. Who else will collect your child?

Person 1

Person 2

Person 3

Person 4

6. Contact Details

Person 1



Person 2



Person 3



Person 4




If any changes occur to the information on this form, please contact the school as soon as possible so we can update on our system. Failure to do so can put your child at risk, or miss out on important information/correspondence from the school.