MULTI PURPOSE PARENTAL CONSENT FORM The information on this form will be used throughout your child’s time at St Patrick’s Catholic Primary School & Nursery. You may withdraw your consent to any of the sections, at any time, by contacting the school. Pupil Name Date of Birth Name of Parent/Carer Relationship to Child Address Phone Mobile E Mail Name of Parent/Carer Relationship to Child Address Phone Mobile E Mail Please indicate whether you have given your consent in each case by writing yes/no the box on the right-hand side. On-site activities I give my permission for my child to use the internet in line with the school’s Acceptable Use Agreement and Rules’ which are shown below:- ‘Pupil I will only use ICT in school for school purposes I will only open/delete my own files I will make sure that all ICT contact with other children and adults is responsible, polite and sensible I will not deliberately look for, save or send anything that could be unpleasant or nasty. If I accidentally find anything like this I will tell my teacher immediately I will not give out my own details such as my name, phone number or home address. I will be responsible for by behaviour when ICT because I know that these rules are to keep me safe I know that my use of ICT can be checked and that my parent / contacted if a member of school staff is concerned in any way View films and video clips rated PG Take part in food preparation/cooking and tasting activities Off-site activities I give my permission for my son/daughter to take part in:
MULTI PURPOSE PARENTAL CONSENT FORM The information on this form will be used throughout your child’s time at St Patrick’s Catholic Primary School & Nursery. You may withdraw your consent to any of the sections, at any time, by contacting the school. Pupil Name Date of Birth Name of Parent/Carer Relationship to Child Address Phone Mobile E Mail Name of Parent/Carer Relationship to Child Address Phone Mobile E Mail Please indicate whether you have given your consent in each case by writing yes/no the box on the right-hand side. On-site activities I give my permission for my child to use the internet in line with the school’s ‘Pupil Acceptable Use Agreement and Rules’ which are shown below:- I will only use ICT in school for school purposes I will only open/delete my own files I will make sure that all ICT contact with other children and adults is responsible, polite and sensible I will not deliberately look for, save or send anything that could be unpleasant or nasty. If I accidentally find anything like this I will tell my teacher immediately I will not give out my own details such as my name, phone number or home address. I will be responsible for by behaviour when ICT because I know that these rules are to keep me safe I know that my use of ICT can be checked and that my parent / contacted if a member of school staff is concerned in any way View films and video clips rated PG Take part in food preparation/cooking and tasting activities Off-site activities I give my permission for my son/daughter to take part in:
ST%20PATRICk'S%20consent%20form.docx