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Transition Information Form

Please the enter unique code, this can be found in the email you have received.

Unique code*

Student Information

Legal Surname* Legal Forename* Known as Surname (If different from legal) Known as Forename (If different from legal) Middle name(s) Date of birth*

Gender*MaleFemaleNon-Binary

Year group*

Parent/Carer Information

Parent 1

Parent/Carer name* Home address* Postcode* Home telephone number Mobile number* Email address* Relationship to child*

Primary contact*YesNo

Does the child live at this address?*YesNo

Parental responsibility*YesNo

Preferred Communication Language

Parent 2

Parent/Carer name Home address (if different) Postcode Home telephone number Mobile number Email address Relationship to child

Primary contactYesNo

Does the child live at this address?YesNo

Parental responsibilityYesNo

Preferred Communication Language

Is the child registered under:SGO (Special Guardianship Order)LAC (Looked After Child)PLAC (Previously Looked After Child

Legal order

Is there any legal order relating to the child*YesNo

If Yes please provide details

Daytime emergency contacts (if different from parent/carer)

Government guidance requires that we hold information for a minimum of two emergency contacts per child on role

1.Name Relationship to child Telephone number 2. Name Relationship to child Telephone number Preferred communication language

Names of any siblings attending The Basildon Academies
	Name	Year Group

Previous School Doctor's name & address* Doctor's telephone number Medical information – including any food allergies and medication

Consent Providing

Consent is obtained for the duration of the student’s enrolment at the Academies. Consent can be withdrawn at any time by contacting the Academies. Privacy Notices are available on our websites.

Photographs/Video

I consent to my child appearing in photos and videos in Academy news articles, website and social media.*YesNo

Name

I consent to my child’s name* appearing in Academy news articles, including electronically *first name and first initial of surname only*YesNo

Replacement of Academy Materials

I understand that it will be my responsibility for the replacement of lost or damaged exercise books or other Academy items.*Yes

Mobile Phone

I understand that mobile phones are not to be seen or heard on school grounds*Yes

Biometrics

I consent to my child’s finger print being recorded to make purchases in the Academy dining hall .*YesNo

Free School Meals

Is your child eligible for Free School Meals?*YesNo

If Yes, you will be asked to complete a Free School Meal application form and provide sufficient evidence of entitlement.

Young Carer

Is your child a registered Young Carer?*YesNo

EAL

Does your child have English as another language?YesNo

Ethnic details

The Department for Children, Schools & Families have asked us to request and provide them with information relating to the ethnic origin of our students. Would you please assist us by ticking the appropriate box.

Select one of the following Please tick to indicate your child’s mother tongue* If other please specify

Travel

How will your child travel to school?*

Information Updates

I agree to notify the academies of any changes to personal information, including address, email address and mobile telephone number.*Yes

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