OPEN NIGHT on Wednesday 11th December 2024 at 7 pm

Pupil Data Collection Information 2024/25

It is important that our school has the most up to date contact information for all our pupils and parents.
A data collection form is required for all New P1 Admissions and each child in the family currently attending Lissan Primary School to update our records accordingly.

Please complete all details requested.

GDPR - Data Protection Statement

The information provided [on this form] by you to Lissan Primary School is required by us to have appropriate means to contact you as parent/guardian of a student attending this school. When we process your personal information, for example, collect it on a form or store it in a file or on a computer, the school is obliged to comply with the General Data Protection Regulation (GDPR). We will process your personal information on the legal basis that it is part of our legitimate purpose to operate. Your personal information will not be shared or processed for any other purpose without your express consent. We have published detailed Privacy Notices on our website and we have hard copies available at our school office. Our Privacy Notice provides further information on how and why we process your personal information as well as details on how to contact us if you have any questions or concerns. Please read our Privacy Notices carefully before completing this form.

Pupil Details

1. Surname

2. Legal Surname (if different from above)

3. Forename

4. Preferred Forename (Name child is to be known by):

5. Middle Name

6. Gender

Male

Female

7. Date of Birth

YYYY

8. Address

9. Postcode

Contact Details

Please give details of all persons who have parental responsibility and anyone else you wish to be contacted in the event of an emergency.
Place them in order of contact priority. For example, you may wish to put the mother or father in the 1st and 2nd boxes.

List these in order of priority to be contacted.
Parent/Guardian 1 - First point of contact
Parent/Guardian 2 - Second point of contact
OR
Other Contact

Parent/Guardian 1 (Must be completed)

10. Parent/Guardian 1 Title

Mrs

Miss

11. Parent/Guardian 1 Surname

12. Parent/Guardian 1 Forename

13. Relationship to Child

Parent

Guardian

Step Parent

Foster Carer

Grand Parent

Other (Please Specify Below)

14. Mobile Number ESSENTIAL - The main form of contact will be this number.

15. Home Telephone

16. Work Telephone

17. Address

18. Postcode

19. Email Address (another form of contact information)

Parent/Guardian 2 (Must be completed)

20. Parent/Guardian 2 Title

Mrs

Miss

21. Parent/Guardian 2 Surname

22. Parent/Guardian 2 Forename

23. Relationship to Child

Parent

Guardian

Step Parent

Foster Carer

Grand Parent

Other (Please Specify Below)

24. Mobile Number (ESSENTIAL)

25. Home Telephone

26. Work Telephone

27. Address

28. Postcode

29. Email Address (another form of contact information)

Other Contact (Must be completed)

30. Other Contact Title

Mrs

Miss

31. Other Contact Surname

32. Other Contact Forename

33. Relationship to Child

Parent

Guardian

Step Parent

Foster Carer

Grand Parent

Other (Please Specify Below)

34. Mobile Number (ESSENTIAL)

35. Home Telephone

36. Work Telephone

37. Address

38. Postcode

Travel Arrangements

Please provide information on travel arrangements for your child.

39. Please select travel arrangements for your child.

Car

Walk

School Bus

Other (Please Specify Below)

Meal Arrangements

This section gives information about lunchtime arrangements for your child on most occasions in school.

40. What meal arrangement will your child receive mostly in school?

Free School Meal

Paid School Meal

Packed Lunch

Medical Information

Please provide as much information as you can. If there is no medical info, type NONE.

41. Medical Practice

42. Telephone

43. Address of Medical Practice

44. Medical Information/Medical Conditions (i.e diabetic/asthmatic/allergies)

45. Special Dietary Needs

46. Disabilities

Ethnicity

47. Child's Ethnicity *

Home Language

48. Child's Home Language *

Religion

49. Child's Religion *

Pre-School Information

50. Previously registered with a Sure Start Project? *

Yes

Do Not Know

51. Attended a Sure Start Programme for 2-3 year olds? *

Yes

Do Not Know

52. Pre-School Experience *

Nursery School or Nursery Class in a PS

No pre-school education setting

Nursery Unit within a Special School

Reception class or group in a PS

Voluntary or private playgroup

Unknow

Consent

53. General Data Protection Regulation 2018: The school is obliged to comply with the General Data Protection Regulation (GDPR). We will process your personal information on the legal basis that it is part of our GDPR policy to do so. We have a duty to protect this information and to keep it up to date. The school is required to share some of the data with the Education Authority, with the Department of Education (DENI) and Public Health Authority (PHA). A copy of the GDPR policy is available on our website. The school is required to share some of the data with the Education Authority and the Department of Education. To enable us to comply with our obligations under GDPR, we require your consent to hold the information included in this form. You will be asked to complete a new form at the start of each academic year while your child attends this school. If your circumstances change, i.e. change of address, you should contact the school office to request a new form. This form should be signed by someone with parental responsibility wherever possible. If you have provided details of anyone other than yourself, please let them know that the school holds their details.

Yes

Website