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Pupil Registration Form & Consent 2023


All schools are required by law to keep on record details of children admitted; we should therefore be grateful if you would complete this form.

By submitting this form you are consenting to all of the information being stored at Hiltingbury Junior School.

Any consent given will be valid for the period your child is a pupil at Hiltingbury Junior School. You can withdraw consent at any time by emailing

Please note that this form does not automatically save, so please allow time to complete all questions before submitting.

Pupil Details


Address Details

If the child’s residence at the present address (whether living with parents or any other person) is not permanent please state the reason and probable duration of the stay, and give the name and address of the person with whom the child normally resides.


Please provide 2 named contacts and a minimum of 3 contact telephone numbers in case of emergency.
For safeguarding purposes we are unable to accept less than 2 named contacts.

Contact 1

Priority to contact in an emergency*
Parental Responsibility*

Contact 2

Priority to contact in an emergency*
Parental Responsibility*

Parental responsibility may be shared between a number of people beyond the child’s natural parents. Married parents have equal parental responsibility; on separation or divorce both parents continue to have responsibility. In such circumstances the school will forward copies of school reports etc to the separated parent if requested.

I will email copies of any court orders relating to my child to -
Is the child adopted, ever been a looked after child or resident with foster parents.


Are there any medical needs the school should be aware of.*
If your child uses an inhaler, is it carried on their person?
Have any of the below services been involved with your child?*

Ethnic/Cultural Information


Please complete the following; this will help us to see how well children from different groups are doing. We want to make sure that all children are treated fairly and do well at school.

Please select one of following*


Select one of the following*

Travel Arrangements

Please select main choice only*

Consents required

At Hiltingbury Junior School we take the safeguarding of your child very seriously, and this includes images of pupils in school displays, publications, the school website and on the school social media page. This provides a good opportunity to celebrate the work of the children in school, particularly a school event such as a drama production, school trip/residential, celebration assembly or a school sporting event.
To comply with General Data Protection Regulations, we ask that parents’ consent to the school taking and using photographs, images and videos of their children. Any use of pupil images at Hiltingbury is underpinned by the following guidance:
• We will never use the full name of a pupil with or without a photograph
• We will not include personal e-mail or postal addresses, or telephone numbers on our website/ school social media site.
• We may use group or class photographs or footage with very general labels such as ‘a science lesson’.
• We may include pictures of pupils and teachers that have been drawn by the pupils.
• This consent is valid for five years from the date of submission, or for the period of time your child attends this school. The consent will automatically expire after this time.
• Your consent can be withdrawn at any time in writing.

1.I give my consent to the use of my child’s image as described above*
2. I confirm I have read and understood the information regarding Google Workspace and consent to my child using Google Workspace for Education.
3. I consent to my child taking part in food/ soft drink related activities and have read the information provided.*

Home School Agreement

1. The Parents I/We shall try to:
*see that my child goes to school regularly, on time and properly equipped;
*let the school know about any concerns or problems that might affect my child’s work or behaviour
*support the school’s policies and guidelines for behaviour;
*support my child in homework and other opportunities for home learning;
*attend parents’ evening and discussions about my child’s progress;
*get to know about my child’s life at the school.

2. The School will
*contact parents if there is a problem with attendance, punctuality or equipment;
*provide a secure and supportive environment for all children;
*let parents know about any concerns or problems that affect their child’s work or behaviour;
*set, mark and monitor homework, and encourage children to participate in our homework programme;
*arrange parent’s evenings during which progress will be discussed, and provide parents with an Annual Report;
*keep parents informed about school activities through regular letters home, news sheets and notices about special events.

I confirm that we have read and will abide by the Home School Agreement*