Thank you for choosing Brentnall Academy for your child.
Before your child can start at our school, we need you to complete an Admission Form; a paper copy will be given to you from the School Office and is available below Admission Form
The form has been copied below, you can translate this into your home language, to do so, please use the select language option located at the very bottom of our website.
Admission Form
We need this information before your child can start at Brentnall
It is imperative for safeguarding reasons that we hold this information
Pupil Details
Legal Forename:
Middle Name(s): Legal Surname:
Preferred Surname:
Gender: Male or Female:
Date of Birth:
Home address with postcode:
Collection Password*:
*Collection Consent
It is important that we make sure that children are released safely at the end of each day. We ask that you set up a password on your child’s records which can be used in the event of you not being able to collect your child.
A staff member will only release your child if the correct password is given by your chosen adult & will not release a child to a sibling that is under the age of 16 years old.
Parental Details
We must have at least 2 people we can contact in an emergency Parent/Guardian 1: (with parental responsibility for the child’s educational progress)
Parent/Guardian 1: (with parental responsibility for the child’s educational progress)
Title:
Forename:
Surname:
Relationship:
Home Telephone:
Mobile Telephone:
Work Telephone:
Place of Work:
Email Address:
Home Address:
NI Number:
NASS Number:
Parent/Guardian 2: (with parental responsibility for the child’s educational progress)
Title:
Forename:
Surname:
Relationship:
Home Telephone:
Mobile Telephone:
Work Telephone:
Place of Work:
Email Address:
Home Address:
NI Number:
NASS Number:
Emergency Contact Details (other than parents – We must have at least 2 people in total we can contact in an emergency)
Contact 1
Name:
Home Telephone: 
Mobile Telephone:
Relationship to Child: 
Contact 2
Name:
Home Telephone:
Mobile Telephone:
Relationship to Child:
Family Links
Please advise of any siblings or extended family that currently attend Brentnall Academy
Dietary & Meal Arrangements
Please advise any dietary needs, food allergies or intolerances
eg – vegetarian nut allergy, halal etc
You may be able to claim Free School Meals, you can do this by checking the criteria on the government website https://www.gov.uk/apply-free-school-meals or by calling Salford City Council on 0161 793 2500.
Expected Option (please circle)
Free School Meal
Paid School Dinner
Packed Lunch
Medical Information
Doctor’s Surgery Address:
Telephone Number:
Does your child have a medical condition?
If yes, please provide details
Does your child have any allergies?
If yes, please provide details
Does your child take regular medication?
If yes, please provide details
Does your child have a disability?
If yes, please provide details
Additional Pupil Information
Ethnicity:
Religion:
First Language:
National Identity:
English as an Additional Language:
Country of Birth:
Transport
Which mode of transport do you take to travel to school?
Walk
Public Transport
Car
Taxi
Cycle
School Transport
Safeguarding
Is your child or family known to social care?
Name and contact details of social worker:
Special Educational Needs
Does your child have an Educational Health Care Plan?
Does your child have any Special Educational Needs?
If yes, please circle any that apply from the option(s) below
Mobility
Co-ordination
Continence
Speech
Hearing
Eyesight/Glasses
Memory
Ability to Lift
Perception
Other
Please use this section to tell us about any other information that may affect your child’s welfare whilst in school:
Education History (not applicable for Nursey & Reception admission)
Name of previous school:
Date of leaving:
Reason for leaving:
If no previous school, date of arrival in the UK:
PARENTAL CONSENT
You have the right to change or withdraw your consent preferences at any time by contacting the School Office.
Educational Activities, Trips & Visits – please answer yes or no
I give consent for my child to:
Take part in/attend any out of school activities, day trips or visits to places of interest: e.g. local parks , library , museums
Take part in food tasting activities in school
Communication – please answer yes or no
I give consent for:
School contacting me by text, phone & email with Information, reminders, updates & newsletters.
Images (Still & Moving)
Photos & videos of pupils are occasionally displayed in school’s newsletter, on the school website, school’s social media and display boards around school. All images are kept securely and are used for educational purposes only. Images are used to demonstrate work which children have produced; promote sporting events; show group activities and to motivate, celebrate and reward pupils’ achievements. Images will be identified by first names only.
I give consent for: – please answer yes or no
School using my child’s image as detailed above ( all except social media )
Specific consent will be obtained for images used for external purposes.
Internet Access – please answer yes or no
My child to use email and the internet. I understand that he/she will be held responsible if they do not observe the Acceptable Use Policy that is in place at school.
Medical Consent – please answer yes or no
I provide consent for:
School to use plasters on cuts and grazes
My child to receive emergency first aid, medical or surgical treatment as considered necessary by the medical authorities present (including anaesthetic and blood transfusion). We will always contact you in such an event
Early Years
I provide consent for: – please answer yes or no
Staff to assist my child with brushing their teeth
Staff to change my child’s clothes in the event of an accident/water play
Staff to observe and record my child’s development on Target Tracker
Staff to apply the sun cream (that I provide) to my child’s face, arms and legs when necessary.
Keeping us Informed
I confirm that the information provided within this form is correct and I agree to inform school should any information require updating. I understand that I must update school should there be any change to the allergy, dietary, medical or contact information provided.
Parent/Carer Name:
Parent/Carer Signature:
Date:
Thank you for completing this school data form. If you need any further information please contact the School Office on 0161 921 2260. Or by emailing school at enquiries@brentnallacademy.org.uk
