Pupil Information Form

Is this the first pupil information form you're completing for the pupil named?

Yes, I have not shared information about this pupil before.

No, I am providing updated information.

Parent or guardian's name

Parent or guardian's contact email

Parent or guardian's phone number

Pupil's name

Pupil's date of birth

Day

Month

Year

School attended

Name and mobile number for an additional emergency contact

Please provide details of any known allergies, dietary requirements or medical issues, or write "NONE".

Does your child have any diagnosed or suspected Special Educational Needs (for example: dyslexia, ADHD, autism, speech or language needs, or processing difficulties)?

For secondary pupils only: Does your child have permission to leave their sessions independently?

Yes

No

If a situation arises, where emergency treatment is deemed essential by a medical professional for the health and wellbeing of my child, I consent to Jeni Smith (or her authorised representative in her absence) giving permission for my child to receive medical treatment, if attempts to contact me and the additional emergency contact listed above are unsuccessful.

Photo and video permission: please select one option only

My child's tutor may take photos or videos of my child during their sessions, for use in Sunnydene Tutoring social media accounts and on the Sunnydene Tutoring website. My child's first name may be used alongside any photos or videos shared.

My child's tutor may take photos or videos of my child during their sessions, for use in Sunnydene Tutoring social media accounts and on the Sunnydene Tutoring website. My child's first name may not be used alongside any photos or videos shared.

My child's tutor may not take photos or videos of my child during their sessions, for use on social media or on the Sunnydene Tutoring website. Photos of my child's work may be taken for the purposes of recording their progress only.

I have read and understood the Sunnydene Tutoring terms and conditions, and I agree to these terms.

https://www.sunnydene-tutoring.co.uk/terms-and-conditions

Signature

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Communication preference

Email

Phone call

Text or iMessage

When I have information to share that is being sent to all parents, this will be communicated via email. Please indicate above how you would prefer for me to contact you if I have specific information to share regarding your child's sessions or their progress.

SUNNYDENE TUTORING

If you have sessions scheduled for your son or daughter, please complete and submit the form.
Please note: the page will refresh and the form will appear empty once you have clicked 'submit'.

Pupil Information Form

​​​If you have sessions scheduled for your son or daughter, please complete and submit the form. Please note: the page will refresh and the form will appear empty once you have clicked 'submit'. ​

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If you have sessions scheduled for your son or daughter, please complete and submit the form.
Please note: the page will refresh and the form will appear empty once you have clicked 'submit'.