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Data Collection

Please fill out the data collection form below.

Please give details of all persons who have parental responsibility (under the emergency contact section) and anyone else you wish to be contacted in an emergency. Place them in the order that you wish for them to be contacted in an emergency.

The data being collected, controlled and processed is in line with General Data Protection Regulations (GDPR). The school has a duty to protect this data and to keep it up to date. The school is required to share some of the data with the Educational Authority and with the Department of Education.

Data Collection Form

Forename*
Middle Name(s)
Surname*
Preferred Forename
Preferred Surname
Gender*
Date of Birth*
Year Group*
Registration Group
Address*
Telephone Number*
Email Address*
Emergency Contact - Priority 1: Name/Relationship*
Emergency Contact - Priority 1: Home Address*
Emergency Contact - Priority 1: Home Telephone*
Emergency Contact - Priority 1: Email Address*
Emergency Contact - Priority 1: Work Address
Emergency Contact - Priority 1: Work Telephone
Emergency Contact - Priority 2: Name/Relationship*
Emergency Contact - Priority 2: Home Address*
Emergency Contact - Priority 2: Home Telephone*
Emergency Contact - Priority 2: Email Address*
Emergency Contact - Priority 2: Work Address
Emergency Contact - Priority 2: Work Telephone
Emergency Contact - Priority 3: Name/Relationship
Emergency Contact - Priority 3: Home Address
Emergency Contact - Priority 3: Home Telephone
Emergency Contact - Priority 3: Email Address
Emergency Contact - Priority 3: Work Address
Emergency Contact - Priority 3: Work Telephone
Emergency Contact - Priority 4: Name/Relationship
Emergency Contact - Priority 4: Home Address
Emergency Contact - Priority 4: Home Telephone
Emergency Contact - Priority 4: Email Address
Emergency Contact - Priority 4: Work Address
Emergency Contact - Priority 4: Work Telephone
Medical Practice: Name & Address*
Medical Practice: Telephone*
Medical Condition(s)?
Medical Notes
Ethnicity*
Religion
Home Language
First Language
Country of Birth*
Nationality*
Declaration: I confirm all the information I have given is correct to my knowledge * Confirm
Todays Date*
Confirm Email

All data will be processed in accordance with our Privacy Policy.
Submit

Data Collection

Data Collection Form

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