Kindergarten Additional Information Form

Child's Name:* Preferred Pronoun* Child's Date of Birth* Please upload your child's birth certificate or passport* No file chosen Please upload a passport size photograph of your child* No file chosen

1: Parent/Guardian (with whom the child lives)* 1: Relationship to the child* 1: Address* 1: Telephone Number* 1: Email* 1: Profession* 2: Parent/Guardian Name* 2: Relationship to the child* 2: Address if different to Parent 1* 2: Telephone Number* 2: Email* 2: Profession*

Emergency Contacts

Please provide two additional emergency contacts that are different from the details provided above. It is essential we have these on file.

1: Emergency contact name and relationship to child* 1: Contact number* 2: Emergency contact and relationship to child* 2: Contact Number*

Medical and Dietary information

Does your child have any medical conditions or allergies? If yes, please give information below* Does your child have any food allergies or dietary requirements? If yes, please give information below.* Does your child have any extra hearing or vision needs?* During the admissions process, if your child requires urgent medical care, do you consent to the school administering medicines including homeopathic remedies, paracetamol or ibuprofen?*

Education History

Previous School* Reason for leaving* Date to/from* Previous School Reason for leaving Date to/from If applicable, please attach the last 2 years of educational reports No file chosen Does your child have any specific learning difficulties (e.g Dyslexia, ADD, ADHD, Dyscalculia, Dyspraxia, Sensory Integration difficulty, emotional needs or behavioural difficluties? If yes please provide more information below:* Does your child have a SEND support plan at their current school? If yes, please provide more information below:* Does your child have an EHC plan, Speech and Language Therapy &/or Occupational Therapy Report, Dyslexia Report, ADHD Report etc? If yes, please provide information below:* Has your child been assessed by an Educational Psychologist or Psychiatrist? If yes, please provide information below: If you have replied yes to any of the above, please upload any relevant documents here: No file chosen

Home Life

Does your child have any siblings at Michael Hall?* Does the extended family play a role in your child's life?* These are the people who live in our home:* Are there any other details you would like to tell us about your child's family and friends?* We have chosen Waldorf Education because:* Nationality* The main language we speak at home is:* My child has had the following experience when in the care of others: How was that experience for you as a parent/carer? Are there any cultural/religious values that you would like to share?* Are there any notable life events that you think are relevant for us to know prior to your child starting with us at Michael Hall?* Michael Hall Kindergartens are screen free, media free environments. We are a play-based curriculum with no media references in our day-to-day practice. It is helpful for our staff to have insight into your family’s relationship with media and to know how much screen time you child has, if any. My child is happiest when:* The activities my child likes to do most are:* When my child is struggling, tired or upset, I support them by:* Is there anything else you would like to share with us about your child?*

Extra Information

To whom should the school send fee invoices?* Relationship to the child:* Email and postal address:* Preferred Entry Date:*

It is part of the custom and practice of the School to take photographs and moving images of School events and achievements (class photos, theatre productions, sports events etc.) and to use some of these for the purposes of marketing the School (School prospectus, website, social media, press releases etc.) and helping others to understand more about our education. Parents who accept a place for their child at the school are invited to agree to the school using images of him/her, by signing this form as part of the School's Admissions process. Under the GDPR which came into force in May 2018, parents should be aware that the law recognizes pupils' own rights to decide how their personal information – including images – is used from the age of 13. Please indicate below if you consent for the time being to your child's image being used in School media. We will also seek additional verbal or written consent before publishing any image where that pupil is identified by name. You may withdraw this consent at any time by emailing us.

I consent to my child's image being used in the School media in the manner described*YesNo

I have read Michael Hall's Admissions Policy and the Parent Code of Conduct*Yes