Access Keys:

 
 
St Mary's Primary School Pomeroy

Data Collection Form

Please complete the details below and return this form to your child’s class teacher as soon as possible.

DD
 
MM
 
YYYY
 
Please give details of all persons who have parental responsibility and anyone else you wish to be contacted in an emergency.  Place them in the order that you wish for them to be contacted.
Parent/Guardian - Priority 1
Mr
 
Mrs
 
Ms
 
Parent/Guardian - Priority 2
Mr
 
Mrs
 
Ms
 
Parent/Guardian - Priority 3
Mr
 
Mrs
 
Ms
 
Bus
 
Walk
 
Car
 
Data Protection Act 1998: The School is registered under the Data Protection Act for holding personal data.  The school has a duty to protect this information and to keep it up to date.  The School is required to share some of the data with the Education Authority and with the Department of Education.
Yes
 
No
 
DD
 
MM
 
YYYY