Cycling to School Agreement

Cycling to School Agreement

CYCLING TO SCHOOL AGREEMENT

Ratton School wishes to encourage children to cycle to school since it improves their health and fitness, reduces traffic outside the school making conditions safer for everyone and benefits their general development.

  • The decision as to whether your child is competent to negotiate such hazards on the route from home to school and back must be yours and yours alone. Ratton School does not accept liability for any consequences of that decision.
  • It is recommended that parents discuss and agree the safest cycling route with their children, discussing and dealing with any potential hazards.
  • There is a limit to the number of cycles we can store safely and securely (120).
  • Parents are advised to take out appropriate insurance cover, as the school’s insurance does not cover loss or damage to cycles.

Cycle Helmets

All children are advised to wear a correctly fitted cycle helmet and use appropriate reflective clothing and bike lights when visibility is poor.

Conditions for Cycling to School

  1. All bicycles must be in roadworthy condition
  2. Cyclists must ride sensibly and follow the Highway code
  3. All bicycles must be locked securely in the approved cycle area

If you wish your son/daughter to cycle to school, please complete the following form.

CYCLING TO SCHOOL AGREEMENT

Name of Student / ………………………………………………………………………………………………………
Tutor Group / ………………………………………………………………………………………………………
Cycle Make/Colour / ………………………………………………………………………………………………………
Cycle Serial Number / ………………………………………………………………………………………………………
Lock Serial Number / ………………………………………………………………………………………………………

Signed ...... (Parent/Carer)

Signed ………...... (Headteacher)

Student Code of Conduct for ICT

To ensure that you are fully aware of your responsibilities when using information and communication systems this code of conduct needs to be signed.

•I understand that it is a criminal offence to use a school ICT system for a purpose not permitted by its owner.

•I appreciate that ICT includes a wide range of systems, and not just computers.

•I understand that school ICT systems may not be used for private purposes.

•I understand that my use of school ICT systems, internet and email may be monitored and recorded to ensure policy compliance.

•I will respect system security and I will not disclose any password or security information to anyone other than an authorised system manager, and I will not attempt to gain access to any user account other than my own.

•I will not install or attempt to install any software or hardware.

•I will not damage or attempt to damage any school ICT equipment or software.

•I will only use software permitted for student use.

•I will not access or attempt to access any part of a school ICT system that is not intended for students.

•I will not bypass or attempt to bypass the school internet filter to access websites which have not been approved for use in-school.

•I will use ICT in class in a manner appropriate to the lesson being taught.

The school may exercise its right to monitor the use of the school’s information systems and internet access, to intercept e-mail and to delete inappropriate materials where it believes unauthorised use of the school’s information system may be taking place, or the system may be being used for criminal purposes or for storing unauthorised or unlawful text, imagery or sound.

I have read, understood and accept the Student Code of Conduct for ICT. I understand that deliberate nonadherence to this Code of Conduct or Acceptable Use guidance may lead to formal disciplinary action.

Signed by student: ...... Number: ......

Name: ...... Date: ......

Signed by Parent / Carer :......

Name: ...... Date: ......

This form is compulsory and must be completed in full by parents/carers. A separate form should be used for each child.

CONSENT FORM FOR THE USE OF

BIOMETRIC INFORMATION

AT RATTON SCHOOL

School Meals Only

Please complete this form if you do/do not consent to your child using biometric systems until he/she leaves the school.

Once your child ceases to use the biometric recognition system, his/her biometric information will be securely and permanently deleted by the school.

CONSENT FOR THE USE OF BIOMETRIC INFORMATION IN THE SCHOOL FORUSE OF CASHLESS SCHOOL MEALS ONLY

Student name: ……………………………………………………………………………………………………………………………………………………………..….

Year Group/Tutor: …………………………………………………………………………………………………………………………………………………………

Community: ……………………………………………………………………………………………………………………………………………………………………….

I give consent to the school for the biometrics of my child to be used by Ratton School for use as part of the cashless catering recognition system as described above; and I understand that I can withdraw consent at any time in writing

Or

I wish to opt out of the cashless catering recognition system as described above

Name of Parent/Carer: …………………………………………………………………………………………………………………………………….………

Signature: ……………………………………………………………………………………………………………………………………………………………………..

Date: / / 2017

MEDICAL INFORMATION

AND CONSENT FORM

PLEASE RETURN TO THE FINANCE OFFICE

Trip/Excursion Title

Trip/Excursion Date

Organiser

This form should be completed in full by the parent or carer.

A separate form should be used for each child.

PLEASE COMPLETE ALL THE SECTIONS IN BLOCK LETTERS

Surname (of child) / First Name (of child)
ADDRESS / TEL(day)
(night)
(work mother)
POST CODE / (work father)
NAME OF PARENT/CARER

EMERGENCY CONTACT

ADDRESS / TEL(day)
(night)
(work)
POST CODE / (other)
EMERGENCY CONTACT NAME (if different from parent/carer)
DOCTORS NAME
SURGERY ADDRESS / TEL
NATIONAL HEALTH NUMBER
DATE OF LAST TETANUS INJECTION
ANY MEDICAL CONDITIONS (eg. asthma, allergies, diabetes etc.)
PRESCRIBED MEDICATION TO BE TAKEN / SHOULD THIS BE ADMINISTERED BY AN ADULT?
YES NO
ANY FOOD ALLERGIES OR SPECIAL DIETARY REQUIREMENTS? (eg. vegetarian etc.)
My child can swim 50 metres / Yes* No*
My child has permission to swim in the sea / Yes* No*
My child has permission to swim in a public swimming pool / Yes* No*
I certify that I have given all information that is relevant to the wellbeing of my child.
I authorise that emergency medical treatment may be administered by properly qualified persons should this become necessary during the course of my child’s visit.
I authorise that an anaesthetic may be given to my child be it in the United Kingdom or abroad.
I certify that there is no restriction on my child being taken out of the United Kingdom.
If you are unable to give this authorisation please state the reason in the space provided below.
BIRTH: Town Country Date of Birth
Actual age as of September 2017 ......
OTHER RELEVANT INFORMATION
Passport Number:…………………………………………………………………………..
Expiry Date:……………………………………………………………………………………
Signed / Date:

*Please delete where applicable

...... 28th September 2013......

THE INFORMATION ON THIS FORM IS FOR THE BENEFIT OF YOUR CHILD WHILST AWAY ON ANY SCHOOL TRIP. WITHOUT THE INFORMATION I AM AFRAID YOUR CHILD WILL NOT BE ABLE TO ATTEND.

Only complete if your child has an ongoing medical condition

Appendix B

Health Care Plan

Name of Child: / ......
Date of Birth: / ......
Address / ......
......
Name of Child: / ......
Date of Birth: / ......
Address / ......
......

Medical Diagnosis or Condition: ...... Date: ...... Class/Form: ...... Review Date: ......

Contact Information
Family Contact 1 / Family Contact 2
Name: / ...... / Name: / ......
Phone (Work): ...... / Phone (Work): ......
(Home): ...... / (Home): ......
Relationship: ...... / Relationship: ......
Clinic/Hospital Contact / GP
Name: / ...... / Name: / ......
Tel No: / ...... / Tel No: / ......

Please complete the reverse of this form giving as much detail as possible especially for the section in what constitutes an emergency and action to take

Describe medical needs or condition and give details of pupil’s individual symptoms: ......

Daily care requirements (e.g., before sport/at lunchtime):...... Describe whatconstitutes an emergencyfor the pupil and the action to take if this occurs: ......

Action to take if this occurs

...... Follow-up Care: ......

Who is responsible in an emergency: (state if differ on off-site activities): ......

Procedures to be followed when transporting the pupil (e.g. home to school transport, off-site visits):

......

Signed ...... Signed ......

(headteacher/manager) (Parent/Carer)

Date ...... Date ......

To be completed by the parent/carer of any child to whom drugs may be administered under the supervision of school staff

Appendix D Parental Consent Form

Name of Child: / ......
Date of Birth: / ......
Address / ......
......

Medical Diagnosis / Condition / Illness: ...... Date: ...... Class/Form: ...... Review Date: ...... Doctor’s Telephone Number: ......

The Doctor has prescribed (as follows) for my child:

a) Regularly:

Name of Drug or Medicine:

How often (e.g.; Lunchtime? After food):

How much (e.g.; Half a teaspoon? 1 tablet?) to be given:

b) In special circumstances: (here describe what circumstances, and the nature

and dosage of the prescribed medication or treatment)

......

......

......

......

A separate form must be completed for each medicine.

I accept that I must deliver the medicine personally to (agreed member of staff). The above information is, to the best of my knowledge, accurate at the time of writing and I give consent to the school/early year’s setting staff administering medicine in accordance with their policy. I will inform the school/setting immediately, in writing, if there is any change in dosage or frequency of the medication or if the medicine is stopped.

I understand that it may be necessary for this treatment to be carried out during educational visits and other out of school activities, as well as on the school premises.

I undertake to supply the school with the drugs and medicines in properly labelled containers.

I accept that whilst my child is in the care of the School, the School staff stand in the position of the parent and that the school staff may therefore need to arrange any medical aid considered necessary in an emergency, but I will be told of any such action as soon as possible.

Signed ......

Date ………………………………………………………………………………………………………………………………

Parental Consent form to be completed if your child needs to carry their ownAuto Injector or Asthma Medication/Inhaler

Students must not share medication with another student under any circumstances

Appendix G

This form must be completed by parents/carers

If staff have any concerns, please discuss this request with healthcare professionals.

Name of Child: ...... Class: ...... Address ......

Medical Diagnosis / Condition: ......

Name of Medicine: ...... Procedures to be taken in an emergency: ......

......

......

Contact Information

Name: …………………………………………………………………..

Daytime Telephone No: ......

Relationship to child: ......

I would like: ...... (student name) to keep his/her medication on him/her for use as necessary.

Signed: ......

Date: ......

Relationship to child: ......

A separate form must be completed for each medicine.

NEW APPLICATION

Application for Free School Meals (FM1)

Please complete this form in BLOCK CAPITALS and return it to Ratton School.

If you have any queries then please phone Mrs Julie Plummer on 01323 504011 (Ext 119)

Details of Claimant / National Insurance No.
Surname ……………………………………………………………… / Mr/Mrs/Ms / Date of Birth
First Names ……………………………………………………….. / Relationship to child(ren) / ……………………………………
Address ……………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………….. / Postcode
Telephone No. / email
Details of ALL CHILDREN for whom you wish to claim free school meals
Legal Surname / First Name / Gender / Birth Date / School Name / Part or
Full Time
For Schools use only / Date
Sibling schools informed
Meals commenced/continued


Proof of Benefit

Proof that you receive at least one of the following benefits as a hard copy will be required

Income Support□

Income Based Jobseeker’s Allowance□

Income-Related Employment and Support Allowance□

Child Tax Credit provided you are not receiving Working Tax Credit and your annual household income (as assessed by HM Revenue & Customs) does not exceed £16,190. You will need to provide the original Tax Credit Award notice (TC602) for the current financial year 2017/18 / Tick
Guarantee element of State Pension Credit. You will need to provide the current award notice. A pension book will not be accepted as proof of benefit. / Tick
Support under part VI of the Immigration and Asylum Act 1999. You will need to provide a letter from NASS (National Asylum Support Service) to confirm you are receiving support. Please ensure your NASS number is on this letter. / Tick

If you are in receipt of any of these benefits then you can have the section below stamped by the job centre or you can provide a copy of your most recent letter detailing current receipt of one of these benefits.

I confirm that the information given is correct and the applicant receives the following qualifying benefit / Job Centre Plus Stamp
Tick / Income Support
Tick / Jobseekers Allowance (income based)
Tick / Income and Support Allowance (income related)

I certify that the information given is correct and I will inform the Free School Meals Section of any changes in my circumstances that may affect my claim for example change of benefit. I understand it is fraudulent to give false information. I agree that you will use the information I have provided to process my claim for free school meals and may contact other sources as allowed by the law to verify my entitlement. I understand that the results of any free school meal eligibility check may also be used to assess my entitlement to school transport.

Signed ………………………………………………………………………………………………………….. Date ………………………………………………

Data Protection Act

Personal information that you have provided will be used carefully and may be held on computer systems at the school/college and in the Children’s Services Department. These uses of personal information are covered by registration under the data protection legislation. Under this legislation you have the right to obtain a copy of the information we hold about you

______

(For Schools use only) Supplementary Evidence

I confirm that the information given is correct and the applicant receives the

following qualifying benefit (tick appropriate box)I enclose paper evidence.

Income Support
Job Seekers Allowance (income based
Income and Support Allowance (income related)
Child Tax Credit not exceeding the qualifying amount
Pension Credit – guarantee element
Financial support under the Immigration & Asylum Act