REGISTRATION FOR A KEY WORKER SCHOOL PLACE AT THE GEOFFREY FIELD INFANT SCHOOL HUB.
From 6th April, Blagdon Nursery School and Geoffrey Field Junior School will close and pupils of key workers will need to go to Geoffrey Field Infant School if you want them to attend school.


ONLY complete this form if you consider that you are a KEY WORKER and your child is currently attending Blagdon Nursery School, Geoffrey Field Infant School or Geoffrey Field Junior School.


IF YOU HAVE MORE THAN ONE CHILD AT THESE SCHOOLS, YOU MUST COMPLETE A NEW FORM FOR EACH CHILD.
WHICH SCHOOL DOES YOUR CHILD GO TO NOW? *
YOUR CHILD'S FULL NAME *
Your answer
YOUR CHILD'S DATE OF BIRTH DAY / MONTH / YEAR *
Your answer
YOUR CHILD'S YEAR GROUP *
DO YOU WANT A KEY WORKER SCHOOL PLACE AT GEOFFREY FIELD INFANT SCHOOL HUB FOR YOUR CHILD? *
IF YOU HAVE ANSWERED YES TO THE LAST QUESTION, WHICH DAYS WOULD YOU WANT A KEY WORKER SCHOOL PLACE FOR YOUR CHILD? *
Required
DOES YOUR CHILD HAVE ANY MEDICAL CONDITIONS? *
IF YOU HAVE ANSWERED YES TO THE PREVIOUS QUESTION, PLEASE RECORD YOUR CHILD'S MEDICAL CONDITION AND DETAILS OF ANY MEDICATION THEY HAVE TO TAKE DURING SCHOOL HOURS.
Your answer
PLEASE CLICK THE YES BOX BELOW TO CONSENT TO STAFF WITH APPROPRIATE TRAINING AT THE SCHOOL HUB TO ADMINISTER ANY MEDICATION THAT HAS BEEN PRESCRIBED FOR YOUR CHILD.
DOES YOU CHILD HAVE ANY SPECIAL DIETARY REQUIREMENTS *
IF YOU ANSWERED YES TO THE PREVIOUS QUESTION, PLEASE PROVIDE DETAILS OF THEIR DIETARY NEEDS
Your answer
IS YOUR CHILD CURRENTLY SELF-ISOLATING BECAUSE THEY OR A FAMILY MEMBER HAVE SYMPTOMS OF CORONAVIRUS? *
IF YOU HAVE ANSWERED YES TO THE PREVIOUS QUESTION, WHAT WAS THE FIRST DATE OF SELF-ISOLATION ?
Your answer
YOUR FULL NAME *
Your answer
PHONE NUMBER FOR CONTACTING YOU *
Your answer
YOUR EMAIL ADDRESS *
Your answer
2ND EMERGENCY CONTACT. NAME & PHONE NUMBER *
Your answer
KEY WORKER JOB YOU DO - YOUR JOB TITLE *
Your answer
COMPANY OR ORGANISATION YOU WORK FOR *
Your answer
ADDRESS OF COMPANY/ORGANISATION *
Your answer
We will share the information on this form with leaders at the new School Hub. In addition, any medical information about your child will also be shared with the new School Hub leaders, those that will teach your child and the first aiders on site. This information will be stored securely until the School Hub provision ends and will be destroyed once your child's school fully reopens. Tick the box below to consent to this information to be shared. *
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