Lightcliffe Academy Admission Form

Student Admission Form

Welcome to Lightcliffe Academy

Please visit our website for more details about the Admissions process.

Further information about how we use the data you provide, including comprehensive Privacy Notices for both Parents/Carers and students, can be found on the Abbey Multi Academy Trust website.
Student Details
Legal Name*
Preferred Name
Date of Birth*

DayMonthYear
Gender*

MaleFemaleOther
Home Address*

Address

Address Line 2

TownCounty

PostcodeCountry
Date of Admission*

DayMonthYear
Date
Previous School*
Other School
Please state if not listed above
Siblings currently attending Lightcliffe Academy
Year and Form of sibling

Parents or Carers who have legal responsibility for the child
1. Parent/Carer*

Title
Relationship to child*
Parent/carer serves in the Armed Forces*

YesNo
Address (if different to child)

House Name/Number

Street

TownCounty

PostcodeCountry
2. Parent/Carer

Title
Relationship to child
Parent/carer serves in the Armed Forces

YesNo
Address (if different to child)

House Name/Number

Street

TownCounty

PostcodeCountry
Parent/carer living at an address different to the child who wishes to receive:
(Parent/carer will be set to joint priority 1 on our system if the below options are selected)
Please select appropriate

Student ReportText Messages/Emails
Relationship to child

Emergency Contact Information
Please give details of all persons who have parental responsibility for your child and anyone else you wish to be contacted in an emergency. Please make sure that all contacts other than those with parental responsibility are aware that you are providing Lightcliffe Academy with their details.

Please note that the Academy text messaging/emailing system uses the mobile number and primary email address of the first priority contact
First Contact*

Title
Relationship to child*
Home Number
Mobile Number
Work/Other
Email
Second Contact

Title
Relationship to child*
Home Number
Mobile Number
Work/Other
Email
Third Contact

Title
Relationship to child*
Home Number
Mobile Number
Work/Other
Email
Fourth Contact

Title
Relationship to child*
Home Number
Mobile Number
Work/Other
Email

Ethnic Background
Our ethnic background describes how we think of ourselves. This can be based on many things, including, for example, our skin colour, language, culture, ancestry or family history.
Ethnic background is not the same as Nationality or Country of Birth.

The Information Commissioner’s Office (ICO) recommends that young people over 11 years old have the opportunity to decide their own ethnic identity. Parents/Carers with Parental Responsibility are asked to support or advise those children aged over 11 in making this decision, wherever necessary. Students aged 16 years and over are able to make this decision for themselves.

You have a right to decline to provide data on Student Ethnicity, First Language, Country of Birth and Nationality and to retract the data where previously submitted.
This can be done by contacting the school office using contactus@lightcliffeacademy.co.uk or in writing to our postal address.
Ethnicity*
Religion*
First Language*
English as Additional Language*
Please sign below to indicate whether this part of the form was completed by a Parent/Carer, the child or both.
Ethnic/Cultural Background - Parent/Carer E-Signature*

Clear
Or Ethnic/Cultural Background - Student E-Signature*

Clear

Parent/Carer Permission for Photographs/Video
As a safeguarding measure, all students are photographed on entry into the Academy for identification purposes.

Periodically, it is also necessary to photograph or record students for educational purposes. For example, where students are following some GCSE courses, we may need to record them on video as part of the evidence for the examination. In these circumstances, the images are securely stored, used only for those purposes and are only shared with others where we are legally allowed to do so.

From time to time, we also take photographs and videos of students to showcase what our students do in school and to celebrate their success and achievements. We use these images in the school’s prospectus and newsletters, on the school’s website and social media platforms, on display boards around school and occasionally in the external press and media e.g. newspapers and television.

We really value using images of our students in these ways and would like your consent to do so. If you’re not happy for us to do this, that’s no problem – we will accommodate your preferences.
I consent to images of my child being used in the external press and mediaI consent to images of my child being used in internal displays and presentationsI consent to images of my child being used in the Principal's NewsletterI consent to images of my child being used in the school prospectusI consent to images of my child being used on the school's social media platformsI consent to images of my child being used on the school websiteI do not consent to images of my child being used in the above ways
Parent/Carer Consent for Biometrics
This system incorporates the latest biometric technology and eliminates the need for students to carry a lunch card as the system will recognise the finger/thumb of your child at the revaluation pay points and at the tills.

Biometric is simply a method of identifying an individual person. The Trust Cashless System uses and algorithm based scan, which reads between 50 and 130 points on the finger/thumb. It is not a fingerprint in any way, shape or form and is of use only in the Cashless System.

If you choose not to have your child registered on the biometric system a 4-digit PIN Code will be allocated. Please note that PIN Codes do not have the same level of security and it will be your child’s personal responsibility to remember the code and keep it secure at all times.

If you change your mind about photos or Biometric at any time, you can inform us of this change by emailing us contactus@lightcliffeacademy.co.uk or in writing to our postal address.

If you have any questions about the consent you are giving, please do not hesitate to contact us.
Please select the relevant choice:*

I consent to my child being registered for the Biometric Cashless Catering systemI do not consent to my child being registered for the Biometric Cashless Catering system
Daily Spend Limit*

Parent/Carer Consent for Fixtures and Sporting Events
During your child’s time at Lightcliffe Academy in Years 7-11, they may be asked to participate in off-site sporting events, fixtures, competitions or performances.

In order for us to ensure the health and safety of your child whilst taking part in Sporting Events, we ask that you complete the below information to cover the duration of your child’s time at Lightcliffe Academy.

Without this consent, your child will not be able to participate in any of these off site activities.
I,

Parent/Carer ForenameParent/Carer Surname
agree that:

Student ForenameStudent Surname
Can participate in sporting events and off-site physical activities whilst at Lightcliffe Academy and I understand my child will be issued with full details prior to every fixture/eventCan be transported in the school minibus or private coach if necessaryIs in good health and fit to participate in the activities describedCan receive First Aid treatment if requiredI do not consent to my child participating in any sporting events or off-site physical activities

Please use this space to add any additional information about you and your child.
Submitted by:*
Parent/Carer E-Signature:*

Clear
Date form completed*

DayMonthYear
Date
Please add an email address if you require a submission confirmation:
Should be Empty:

Student Details

Parents or Carers who have legal responsibility for the child

Emergency Contact Information

Medical Information and Dietary Needs

Ethnic Background

Parent/Carer Permission for Photographs/Video

Parent/Carer Consent for Biometrics

Parent/Carer Consent for Fixtures and Sporting Events