Enrolment Form

1Contact Information

2Medical Information

3Additional or Updated Information

4Permission for Medical Treatment Form

5Permission for Photographs

6Permission for School Outings

7Permission to Share Contact Details

8Collection from School

This form may take up to 30 minutes to complete. You can save the form at any point and resume via an email link.

At points you may be required to upload supplementary documentation.

The form also requests electronic signatures via your touch screen or a mouse. If you have any technical difficulties, please email admissions@dolphinschool.org.uk

Name of Pupil: *

Primary Address: *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Date of Birth: *

(DDMMYY)

Parent's Details

Parent 1 Name & Title: *

Parent 1 Mobile Phone Number: *

Parent 1 Home Phone Number: *

Parent 1 Work Phone Number: *

Parent 1 Email: *

Parent 2 Name & Title:

Parent 2 Mobile Phone Number:

Parent 2 Home Phone Number (If different):

Parent 2 Work Phone Number:

Parent 2 Email:

If your child has a second parental home, please provide details here:

Emergency Contact

Please provide details of a close relative or friend we could phone in an emergency if you are not available.

Name: *

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Mobile Phone Number: *

Home Phone Number: *

Relationship to you: *

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Does your child suffer from any ongoing illness such as diabetes, asthma, epilepsy, hay fever or motion sicknes? *

Please detail: *

Has your child ever had any serious illnesses or major operations? *

Please detail: *

Does your child need to carry or have nearby an epipen or inhaler?

Please detail: *

Is your child on any medication? *

Please detail: *

Is your child allergic to any medication? *

Please detail: *

Does your child suffer from any food or other allerges? *

Please detail: *

Are your child's vaccinations up to date? *

If no, please give details. Please specify vaccinations received: *

Date of last tetanus injection (if known):

Date of last hearing test (if known):

Date of last eye test (if known):

Blood group (if known):

National Health Number (if known):

Is there any other information of a medical nature that is relevant to his/her attendance and activities at school? *

File Upload - Any other medical details

Click or drag files to this area to upload. You can upload up to 5 files.

Please note:

Injury or illness:

We will contact you if your child is not well enough to remain at school owing to injury or illness.

Safeguarding Children:

Please note that we will follow the Wandsworth Local Safeguading Board guidelines by respondnig to any indication that a child might be experiencing any form of abuse.

Your Child's Doctor

Doctor's Name *

Surgery Name: *

Surgery Address: *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Surgery Phone Number: *

Permissions:

If your child has complex medical needs, the school will do its best to give the care needed. However, it is essential that these needs are discussed openly and honestly prior to a place being offered. The school must be sure that it feels able to meet your child's needs safely within the limits of its existing resources.

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What is the primary language spoken at home?

List any additional languages spoken at home?

Since registering your child, has he/she seen any outside agencies i.e. educational psychologist/speech therapist or other professional body? (copy) *

Please detail:

You can upload new reports, hospital letters or correspondence below. Pupils cannot be enrolled until these reports have been received.

File Upload

Click or drag files to this area to upload. You can upload up to 5 files.

Please note that Dolphin School is committed to meeting children's individual needs, but must be sure it is able to do so adequately within the limits of its existing resources. All learning needs causing concern must be discussed as a condition of entry. Please request our SEN addmissions policy if in doubt.

I confirm that the information I have given is correct and up to date. Please sign below: *

Clear Signature

Name: *

Relationship to child: *

Date *

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I do/do not give permission for the school to administer Calpol: *

I give permission
I do not give permission

I do/do not give permission for the school to administer Piriton: *

I give permission
I do not give permission

I agree to the staff: *

Using sterile cleansing pads;
Using non-allergenic plasters;
Using equipment to treat allergies or any other medical condition as specified and supplied by the parent;
Changing clothes or underwear if the child has wet or soiled clothes due to a toileting accident at school.

In the event of a serious accident, every attempt will be made to contact the parent or emergency contact, and an ambulance will be phoned for immediately. If parents are unable to be contacted, an ambulance will be called and a member of staff will accompany the child.

If your child has prescribed medince that needs to be taken during school hours, it is necessary for you to write a letter giving the school permission to administer the medicien to your children and giving clear, precise instructions as to how the medicine is administered.

Signature *

Clear Signature

Date: *

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External use of photographs

Your child's photo can appear in an advert, in the school prospectus, in a magazine/newspaper, social media, a promotional film or on the public area of the school's website.

I give permission for external use: *

Internal use of photographs

Your child can be included in photos such as class photos, cast phots, some of which appear on the secure area of the website, on notice boards around school, as well as in the printed school year book.

Please note that your child would have to be removed from a class or cast photo, or from the school year book if permission is withheld.

I give permission for internal use: *

Signature: *

Clear Signature

Date *

Save and Resume Later

To make is easier for parents and staff, it is our policy to have one permission form which covers each child's career at Dolphin School. We ask parents to sign this form, giving permission for their child's participation in all school outings. This form should be completed before children start their first term. Pupils may participate in a number of trips during the school year, details of which are sent to you in advance by email.

This form also covers permission to attend sporting or artistic activities arranged by the school.

Declaration

I give permission for my child to attend any school trips or sporting activities. I understand that he/she wil travel by bus, minibus, coach, train, car or will walk, depending on the nature of the trip.

Permission: *

Signature: *

Clear Signature

Date: *

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Each year we send out a contact list which includes mobile phone and email address to parents in your class. Please indicate if you would like your details to be included or omitted from the list.

Please select: *

Mobile phone number
Email address
None of the above

Signature: *

Clear Signature

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Date *

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If your children will (or may be) collected from school on a regular or an ad hoc basis by other family members or parents, please complete the form below.

Please select:

Any Dolphin parent
The following parents:
These named people only:

The following parents:

These names people only:

Signature

Clear Signature

Date:

Single Line Text

Paragraph Text

About US +

JOINING US +

NURSERY +

SCHOOL LIFE +

BEYOND THE CLASSROOM +

NEWS & EVENTS +

Parent's Details

Emergency Contact

Please note:

Your Child's Doctor

Permissions:

Declaration

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