Kingsthorpe Grove Primary School

Administering Medication Form

Name of Pupil *

Class *

Name of Medication *

Reason / diagnosis for prescribed medication *

Time of day when medication is to be given *

Start date for medication *

Choose the starting day/time

End date for medication *

Choose the last day/time

Amount of medication (e.g. mls) *

Parent/Carer Name *

Signature *

Pupil Details - Amendment

Please complete the form if you need to change your child's details

Name of pupil *

Class *

Your Name *

Provide details of any information that has changed.

Current Email Address *

New Email Address *

Current Address *

New Address *

Current Phone Number *

New Phone Number *

Name of contacts also moving to new address *

First Name

Request Leave of Absence

Request for leave of absence form

We understand that at times there may be a need to take your child out of school during term times, medical appointment that you cannot get out of school hours, close family funeral, visiting a new school etc.

Regarding holidays, during term time we will not be able to authorise these and they may result in being referred to the Local Authority.

“If you take your child out of school for an accumulative total of 5 days or more (10 sessions) (83.33%) over a period of six weeks, the school will deem this as irregular attendance and will consider a referral to the Local authority for consideration of legal action. This could include,

A Penalty Notice payable up to £160 fine without further reference to you for a penalty notice this warning is valid for 12 months.

Prosecution under s444 (1) Education Act 1996, where if convicted you may be fined up to £1,000.

Prosecution under s444 (1) (a) Education Act 1996 where if convicted you may be fined up to £2,500 and/or 3 months’ imprisonment.”

Name of Pupil *

Class *

What is the nature of this absence (your choice will provide more options).? *

Medical Appointment

Other Absence Request

Appointment Type *

Date of appointment *

Location of appointment *

Proof of appointment (upload a photo of the text received from the provider) *

Drag and drop files here or Browse

Name of Adults accompanying Child *

Start date for absence *

Choose the first day of absence

Return to School Date *

Choose the return date

Days Absent requested (inc weekends/holidays)

Reason for request (please include as much information as possible to help us make a decision) *

During your child's time at Kingsthorpe Grove have you made such a request in the past? *

Yes

Signature *

Phone

Pupil Leaving Form

Please complete this form if your child is leaving Kingsthorpe Grove Primary School

Name of Pupil *

Your child's Date of Birth *

Leaving Date *

New School Name and Address *

New Home Address (if it's changing)

Contact Number *

Will the child be living with the parent/guardian at this address? If no - Please state who they will be living with *

Is this address temporary? *

No, its a permanent address

Yes, it's temporary

If the address is temporary, please state the date you will be leaving the property and provide your new address *

Date leaving property *

Parent/Carer Name *

Signature *

First Name

Upcoming in School

Administering Medication Form

Administering Medication Form

Pupil Details - Amendment

Pupil Details - Amendment

Request Leave of Absence

Request for leave of absence form

Pupil Leaving Form

Pupil Leaving Form

Staff forms