ST MARY'S CATHOLIC PRIMARY SCHOOL

Celebrating Excellence through our Faith and Learning

01454 866390

01454 866391

admin@stmarysbs.org.uk

Permissions Sheet

Please find below information from our Permissions Slip, which accompanies our New Pupil Information Booklet.  This can be translated into different languages using the Google Translate button below.

Name of child ___________________________

         

Date of Birth __________________    Date starting school ___________________

Please tick in the box to give consent for the time your child is at St Mary’s:-

Educational Visits

[      ]   I give permission for my child to take part in any educational trips or walks planned.

Food Tasting

[      ] I give permission for my child to take part in any food tasting activities planned.

[      ] I have listed below any dietary requirements/allergic reactions that should be taken into consideration and I will keep the school informed of any changes to this information.

__________________________________________________________________

 

Photography and Videoing

I give permission for:-

[      ] my child’s photograph to be taken and used in a newspaper report about an event at school.

[      ] for my child’s photograph to be taken during class activities, assemblies and trips for the purpose of display within the school to celebrate the work of the school.     

[      ] for my child to be included in the videoing of school plays, sports day and classroom or outside activities such as camp or trips.

[      ] for my child to be included in the photography of school plays or sports day and outside activities such as camp or trips.

[      ] I understand that the photographs or videos may be taken by a member of staff or by a designated school adult acting on behalf of the school (this could be a parent).When working with the press no surname would be given.

 

Website

I give permission for:-

[      ]   my child’s photograph to be used in the context of a group/whole school activity.

[      ]   my child’s photograph to be used if partaking in a PE/sports day activity.

[      ]   my child’s individual photograph to be used.

[      ]   my child’s/children’s voice to be used on the website.

[      ]   a video clip of my child/children involved in a group activity to be used.  

ICT and E-Safety

[      ] I have read the E-Safety Policy and agree that, when considered appropriate by the school, my child will be taught use of the internet.

 

School Lunches – Free School Meals and Pupil Premium

[      ] I have enclosed a completed form to see if my child is eligible for Free School Meals and Pupil Premium. I understand that this will be treated confidentially.

 

Donations and Gift Aid

[      ] I wish to make a £9 donation towards the maintenance and building work of the school, as part of being a voluntary aided school. I understand that this will be paid:-

                   [       ]  Using the online payment system

                   [       ]   In an annual £9 cash/cheque payment

[      ] I am a UK taxpayer and would like you to reclaim an additional 25% Gift Aid payment on my donation, at no extra cost to myself.

Name of taxpayer _____________________  Signature ____________________

[      ] I do not wish to make a donation at this time.

School Milk

[      ] I give permission for my child to take part in the school milk scheme.  I understand that, if I wish them to have milk after my child has reached his/her 5th birthday, it will be my responsibility to pay for the milk.

 

Fruit and Veg Scheme

[      ] I give permission for my child to take part in the Fruit and Vegetable Scheme. If my child is in KS2 I understand there will be termly charge.

Please list below if your child has any allergies that we should be aware of.

__________________________________________________________________

 

I have attached the following forms:-

[      ]   Home/School Agreement

[      ]   Data Collection Form

[      ]   Absent Parents

[      ]   ParentMail

[      ]   Pupil Premium/Free School Meals

[      ]   Making Schools a Better Place for Learning

[      ]   Collection and Recording of Pupils’ Ethnic Background

 

Signed ________________________________                  Date_______________________

 

Print name _____________________________

 

Relationship to child ______________________________