Useful Forms

Term time leave requests

The link below contains the form you will need to complete to apply for any kind of leave during term time.  This includes occasional days as well as holiday time.  Please ensure that you read the school policy carefully before applying for term time leave.  Taking holiday during term time is at the Head teachers discretion and will not be approved unless in exceptional circumstances and your child has an attendance record of 95% or above.  

Parental agreement for school to administer medicine

The school will not give your child medicine unless you complete and sign this form.

Note:  Medicines must be in the original container as dispensed by the pharmacy

 

Name of child

 

Date of Birth

      /         /      

Class

 

Medical condition or illness

 

Medicine

 

Name/type of medicine

(as described on the container)

 

Date dispensed if shown

     /         /

Expiry date

     /         /

How much to give and how

 

When to be given

 

Any special precautions

 

Are there any side effects that the school needs to know about

 

Procedures to take in an emergency

 

Parent/Carer Contact details

 

Name

 

Daytime Tel No

 

Relationship to child

 

Address

 

 

 

I accept that this is a service that the school is not obliged to undertake.

I understand that I must notify the school of any changes in writing.

 

 

Date……………………………. Signature…………………………….

 

If more than one medicine is to be given a separate form should be completed for each one.

Files to Download

Contact The School

Dobcroft Infant School

Pingle Road, Sheffield, S7 2LN

Tel:

0114 2368099

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