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Please complete this form if you have contacted Ealing Council to accept a place at Brentside High School for your child in Year 8-10 (from September 2023 - July 2024).

Please answer ALL of the questions below.
Do not leave any fields blank, please put N/A in fields that are not applicable to you otherwise the form can not be submitted.

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* 1. Child's legal surname (as stated on their passport or birth certificate)

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* 2. Child's legal forename (as stated on their passport or birth certificate)

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* 3. Child's preferred forename (that you would like the school to use)

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* 4. Child's preferred surname (that you would like the school to use)

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* 5. Child's date of birth

Date

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* 6. Child's gender

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* 7. Does your child have a sibling that attends Brentside High School?

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* 8. Home address

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* 9. Child's mobile number

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* 10. Child's nationality (as stated on their passport or birth certificate)

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* 11. What is the language you currently speak with your child at home?

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* 12. Please list the previous schools your child attended since they were 5 years old. Start with the most recent one.

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* 13. What language did your child study at primary school?

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* 14. Does your child have any medical conditions?

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* 15. If 'yes', please provide details below

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* 16. Does your child require medication during the school day or in an emergency?

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* 17. If 'yes', please provide additional information

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* 18. Dietary requirements

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* 19. Does your child have any allergies?

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* 20. If 'yes', please provide additional information

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* 21. Does your child have any recurrent Illnesses?

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* 22. If 'yes', please provide additional information

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* 23. Does your child wear glasses?

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* 24. Is your child under the care of an eye specialist (excluding opticians)?

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* 25. Does your child wear hearing aids?

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* 26. Is your child under the care of an audiology or hearing clinic?

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* 27. Is your child seeing a specialist or service for any of the above or other conditions?

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* 28. If 'yes', please provide contact details

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* 29. Has your child ever received Free School Meals?

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* 30. If 'yes', please provide the start and end dates

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* 31. Doctor and health centre information

Parent/Carer Information

Please give details of the persons who have parental responsibility for your child.
These contacts will receive email/text correspondence from the school.

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* 32. Parent/carer information (priority contact 1)

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* 33. Parent/carer information (priority contact 2)

Non-Parental Emergency Contact Information

Parents/carers are contacted in the first instance using the details given above, but we require two further emergency contacts in the event that parents/carers are unavailable.

By completing this, you give consent for your child to be released to the following person(s) in the event of an emergency or illness, if parents/carers can not be contacted.

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* 34. We require at least 2 emergency contacts for your child. Please provide details below.

Emergency contact 1 (this might be a family member, relative, friend or neighbour)

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* 35. Emergency contact 2 (this might be a family member, relative, friend or neighbour)

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* 36. Please provide any information regarding your child's family circumstances that you think we should be aware of.

For example, if your child was adopted from care, is currently or has ever been a Looked After Child, they will be entitled to extra funding to support educational activities.

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* 37. Please provide any information regarding your child's progress in school to date (including any learning difficulties causing concern).

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* 38. Does your child have any other particular skills/talents? For example musical ability, sporting accomplishments etc.

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* 39. If 'yes', please provide additional information

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* 40. If your child was born outside the United Kingdom, please provide their date of arrival in the UK

Date

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* 41. What is the child's legal status regarding residence in the UK?

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* 42. Is Brentside High School the first school your child will attend in the UK?

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* 43. Which race/ethnicity best describes your child? (Please choose only one)

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* 44. Which one best describes your child's Asian or Asian British background?

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* 45. Which one best describes your child's Black, African, Black British or Caribbean background?

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* 46. Which one best describes your child's mixed or multiple ethnic groups background?

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* 47. Which one best describes your child's White background?

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* 48. Which one best describes your child's background?

Photographic and Video Consent

We use photographs (photos) and videos for a number of reasons including celebrating and recording children’s successes.

If you provide consent for the use of your child’s photos, we may publish them on display boards around the school, within school publications, including prospectuses, flyers, leaflets, brochures and school newsletters and bulletins, on our school website, on promotional material, such as banners, signs and displays, as part of adverts or articles in the local press, such as council magazines and local newspapers, and on social media accounts, including Facebook, Twitter, Instagram and YouTube.  

In addition, once a year, a school photographer will visit the school and take individual and group photos of the children, which will be made available to purchase. Reminders will be sent in good time prior to the photographer’s visit. The group photos will be made available for other parents to purchase. Usually, pupils will not be named in the photographs, unless the school has asked for, and the parents have given, specific consent in the first instance.

Please note that we will ask for further consents if they do not fall under the categories listed above.

You can withdraw your consent at any time and can do so by writing to Reception@brentsidehigh.ealing.sch.uk asking the school to stop using your child’s images. From that point your child’s photos will no longer be used in future publications, but we cannot prevent them from continuing to appear in publications already in circulation.

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* 49. I DO give consent for my child's photographs/videos to be taken

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* 50. I DO give consent for my child’s details to be passed on to the Connexions Careers Advisory Services

Biometric Consent

Biometric systems convert personal biological measurements or physical characteristics into a unique code used to identify an individual.

The school canteen uses a scanner to convert points on your child’s finger/thumb into a unique biometric code, which is stored by a software provider called Civica. It is not a fingerprint in any way, shape or form and is not shared with the school or any other party. Your child’s code will be automatically erased from the system when they leave Brentside High School.  

When a student places their finger/thumb on the scanner, the system identifies their account and allows them to purchase food and drinks, removing the need for cash or lunch cards.

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* 51. I DO give consent for my child to be registered on the schools biometric cashless catering system

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* 52. I DO give consent for the school to email me about Parent Forum Meetings

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* 53. I DO give consent for the school to email me about Friends@Brentside (PTA) information and events

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* 54. Please select your child's religion

Home School Agreement

Please click here to read our Home School Agreement

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* 55. Please select the following to consent.

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* 56. I declare that the information given is correct. I understand that any false information given by me to the Governing Body could give rise to legal proceedings against me and to the withdrawal of the offer of admissions even after my child has joined the school.  

Please select the following to consent.

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