NOTES (1) The Children Act 1989 requires us to send copies of Reports, etc, to all people who have Parental Responsibility for a child – whether they live at home or not. It is most helpful to us if you are (2) In an emergency it is our policy to contact home followed by the daytime numbers. able to include a Grandparent, friend or neighbour for us to contact should you be unavailable. Contact Priority Parental Responsibility Relationship to Child 1 / 2 / 3 / 4 (circle as appropriate) YES/NO (delete as appropriate) Title Surname First Name Home Telephone Mobile Telephone Contact Priority Parental Responsibility Relationship to Child 1 / 2 / 3 / 4 (circle as appropriate) YES/NO (delete as appropriate) Title Surname First Name Home Telephone Mobile Telephone Brothers or sisters at the school or other family links Name: Year/Form: Relationship: Name: Year/Form: Relationship: In cases of divorce/separation, please give a brief summary of any agreements concerning the child in the space below (e.g. custody & access). NOTE - Teachers cannot care for your child properly unless they know who, under the law, has responsibility and authority for them. If any Court Order is in force, a copy must be attached. Cultural Information - Ethnic Origin (Please tick one) Any other Asian Black African Traveller of Irish heritage background Any other Black Black Caribbean White British background Any other ethnic group Chinese White Irish Any other mixed Gypsy/Roma White & Asian background Any other white Indian White & Black African background Bangladeshi Pakistani White & Black Caribbean Home Language (Please tick one) The language normally spoken at the home address English Gujarati Punjabi Hindi Urdu Other (please state the language): Religion (Please tick one) Buddhist Jewish Other Religion Christian Muslim Sikh Hindu No Religion Other (please describe): Country of birth (as it appears on birth certificate or passport)
NOTES – (1) The Children Act 1989 requires us to send copies of Reports, etc, to all people who have Parental Responsibility for a child whether they live at home or not. (2) In an emergency it is our policy to contact home followed by the daytime numbers. It is most helpful to us if you are able to include a Grandparent, friend or neighbour for us to contact should you be unavailable. Contact Priority 1 / 2 / 3 / 4 (circle as appropriate) Parental Responsibility YES/NO (delete as appropriate) Relationship to Child Title Surname First Name Home Telephone Mobile Telephone Contact Priority 1 / 2 / 3 / 4 (circle as appropriate) Parental Responsibility YES/NO (delete as appropriate) Relationship to Child Title Surname First Name Home Telephone Mobile Telephone Brothers or sisters at the school or other family links Name: Year/Form: Relationship: Name: Year/Form: Relationship: In cases of divorce/separation, please give a brief summary of any agreements concerning the child in the space below (e.g. custody & access). NOTE - Teachers cannot care for your child properly unless they know who, under the law, has responsibility and authority for them. If any Court Order is in force, a copy must be attached. Cultural Information - Ethnic Origin (Please tick one) Any other Asian background Black African Traveller of Irish heritage Any other Black background Black Caribbean White British Any other ethnic group Chinese White Irish Any other mixed background Gypsy/Roma White & Asian Any other white background Indian White & Black African Bangladeshi Pakistani White & Black Caribbean Home Language (Please tick one) The language normally spoken at the home address English Gujarati Punjabi Hindi Urdu Other (please state the language): Religion (Please tick one) Buddhist Jewish Other Religion Christian Muslim Sikh Hindu No Religion Other (please describe): Country of birth (as it appears on birth certificate or passport)
2_STUDENT_INFORMATION_RECORD_SIR_2015.docx