Data Capture Form printable pdf download

Data Capture Form

DATA CAPTURE FORM

Surname Used

Surname On Birth Certificate (if different)

Forename Used

Other Forenames On Birth Certificate

Full Address

Postcode

Year

Teacher

Gender

Date Of Birth

PRIMARY

Details Of ALL Medical Conditions and Implications For School

NB It is school policy to act “in loco parentis” when making decisions relating to the treatment of

minor injuries. If you are unhappy with this policy please contact the principal. It is also school

policy to hold named inhalers for children who suffer from asthma. Please contact the principal to

make arrangements relating to these or other medication.

Doctor/Surgery

Doctor’s Telephone Number

Contact Name

Relationship

Address

Telephone Number

Data Protection Act 1998: The school is registered under the Data Protection Act for

holding personal data. The school has a duty to protect this information and keep it up to

date. The school is required to share some of the data with the Local Authority and with

the DfES.

Data Capture Form