Emergency Contact & Welfare Profile

Before completing this form, you may wish to have the following information to hand:

  1. Electronic copy of pupil’s birth certificate and passport (pdf or jpeg format)
  2. Current/previous school address and contact information
  3. GP or allergy specialist clinic address and contact information

And if applicable:

  1. Medical prescriptions (including valid expiry dates)
  2. Electronic copy of any EHC and/or SEN recent, relevant professional reports concerning your child, such as occupational therapy, speech therapy, educational psychology, specialist teacher, CAHMS, etc. (pdf or jpeg format)

Please complete all sections clearly and refer to the Guidance Notes and the Data Protection Policy before beginning:

REVIEW GUIDANCE NOTES
REVIEW DATA PROTECTION POLICY

SELECT SCHOOL
BIRTH CERTIFICATE AND/OR PASSPORT

We must have proof of identification to register your child – please upload either a PDF or JPEG photocopy or scan of your child’s birth certificate or passport:



Section A: Basic Details




RESIDENTIAL ADDRESS:
SIBLING DETAILS:

If you already have a child within the School, please provide the following information:

Section B: Parental Consent for Biometric and Cashless Catering Reading

(PLEASE SEE GUIDANCE NOTES FOR FURTHER INFORMATION)

The school uses Biometric readings for cashless catering and other services. This system has significantly improved the services offered to students and staff, with benefits including:

  • Reduction in queuing time in the school cafe.
  • Children will not have to remember a PIN or to bring a card.

In order for your child to use the biometric system, one parent or guardian will need to sign below

Section C: Family/Home Contact Details

PLEASE REFER TO THE GUIDANCE NOTES WHEN COMPLETING THIS SECTION – PARENTAL RESPONSIBILITY AS DEFINED BY THE CHILDREN’S ACT 1989:

Who Is a "Parent"?

Section 576 of the Education Act 1996 defines parent as:

  • All natural parents, whether they are married or not;
  • Any person who, although not a natural parent, has parental responsibility for a child or young person;

Having parental responsibility means assuming all rights, duties, powers, responsibilities and authority that a parent of a child has by law. People other than a child's natural parents can (only) acquire parental responsibility through:

  • Being granted a residence order
  • Being appointed a guardian
  • Being named in an emergency protection order (although parental responsibility in such a case is limited to taking reasonable steps to safeguard or promote the child’s welfare)
  • Adopting a child

In addition a local authority can acquire parental responsibility it it is named in the care order for a child.

CONTACT 1 (PRIORITY 1) PARENT/LEGAL GUARDIAN:

This needs to be a Parent or Legal Guardian and is the first person the school would contact in an emergency. This contact would automatically receive all communications sent out by the school from notifications relating to the students studies, school news and postal communications i.e. Termly Reports.

The Primary contact receives all school communications automatically


ADDRESS

CONTACT

EMAIL ADDRESS: This email address will be used to send school communications to you

Alternate email which would only be used if there was a problem with the one above:


CONTACT 2 (PRIORITY 2):

If the school was unable to reach the Primary Contact this is the next contact they would ring.


ADDRESS

CONTACT


CONTACT 3 (PRIORITY 3):

If the school was unable to reach the Secondary Contact this is the next contact they would ring.


ADDRESS

CONTACT

Section D: Ethnic/Cultural

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 again.

Any information that we receive from legal documents, such as passports and birth certificates, is not used to verify information in this section. We will record all ethnic and cultural information as declared by you in the tables below.

Section E: Additional Information


If selected ‘Yes’ for either an EHC Plan or Additional Support, you will need please upload a photocopy of any recent, relevant professional reports concerning your child, such as occupational therapy, speech therapy, educational psychology, specialist teacher, CAHMS, etc. here:


Section F: Welfare (First Aid & Dietary)

GENERAL PRACTITIONER/CLINIC CONTACT
DIETARY REQUIREMENTS
KNOWN MEDICAL CONDITIONS AND/OR SYMPTOMS
GENERAL WELFARE POLICY

It is the parents and carers responsibility to review all welfare details each academic year or according to need. The School should be updated as and when your child’s treatment changes. Medicines provided should be clearly labelled (Chemist/Pharmacy labels only) with your child’s name and valid expiry date to be kept in agreement with the School’s policy, PRIOR TO YOUR CHILD’S START DATE.

Staff Indemnity:

Ealing Council fully indemnifies its staff against claims for alleged negligence, providing they are acting within the scope of their employment, having been provided adequate training, and are following the LEA’s guidelines. For purposes of indemnity, the administration of medicines falls within this definition and hence the staff can be reassured about the protection their employer provides. The indemnity would cover the consequences that might arise where an incorrect dose is advertently given or where the administration is overlooked. In practice indemnity means that the Ealing Council and not the employee will meet the cost of damages should a claim for alleged negligence be successful. It is very rare for school staff to be sued for negligence and instead the action will usually be between the parent and employer.

Agreement and Conclusion:

  • The school and parent will hold a copy of these notes. Copies should be sent to the G.P., allergy specialist and Local Educational Authorities for information.
  • Any necessary revising will be the subject of further discussions between the school and parents.
  • On a termly basis, any change in routine will be noted and circulated.
  • It is the parent’s responsibility to ensure medications are available for the School and replaced before the expiry date indicated on the label.

DOWNLOAD & PRINT POLICY

Should you have any queries or concerns in regards to your child’s welfare and potential treatment plan, please contact the Welfare Office.

Section G: Signature of Consent

To acknowledge that you have read and understood the Trust Privacy Notice – Data Protection Act 1998 & General Data Protection Regulation (EU 2016/679) (GDPR) and the Trust Guidance Notes for Completing an Emergency Contact & Welfare Profile, as well as any other relevant legislation and/or school policies relating to your child’s enrolment and/or welfare, please provide your signature of consent as well as the date signed: