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Saxon Primary School

Letters & Forms

Please click on the links to find copies of useful forms, recent letters home and details of on-line payments. Please click on the following link to access the useful forms;

Change of Contact Details

Change of School Meal Preference

Please note that you cannot change meal preference midweek but as long as you notify us by Friday at 9am the changes will take effect on a Monday. Please note, however, that if your child has special dietary requirements there may be a delay if a special menu is required. The school office will let you know as soon as possible if this is the case.
All children in Years Reception, 1 and 2 are entitled to the Universal Free School Meal.
Meals must be paid for in advance each Monday.

Please may my child change from:*
Please tick if this applies to your child:
Please tick if this applies to your child:

Pupil Medication Request

Where possible the need for medicines to be administered at school should be avoided. Parents are therefore requested to try to arrange the timing of doses to avoid lesson time and the subsequent impact on your child's learning. Please note, when medication is prescribed 3 times per day we will not be able to administer at school as this can be achieved outside school hours.

We will administer medicines to your child as close as possible between the hours of 12pm and 1pm only.

For general and prescribed medication, please ensure it is in its original packaging.

Please tick the appropriate box:*

I agree to update information about the child's medical needs held by the school and that this information will be verified by GP and/or medical Consultant. I will ensure that the medicine held by the school has not exceeded its expiry date.

Please record below the medication you wish your child to receive while at school.
Please note that if no completion date is recorded medicine will only be given to your child on the first day the form is submitted to the school office.

 Name of medicineDoseTime required (am/pm)Start Date (dd/mm/yy)End Date (dd/mm/yy)Expiry date of medicine
Medicine 1
Medicine 2

Childcare Vouchers - Payment Notification

Please complete the information below to inform us of payments made by childcare vouchers for Afterschool Club, Breakfast Club or Activity Clubs. Please remember to give details for each of the clubs that you are paying for to ensure that the payment is allocated correctly.

Special Dinner Request Form

Saxon: My child's personal achievement

If your child has recently enjoyed a personal achievement that you would like to be added to our Achievement web page please complete the following details below.

Please note that your child's name and achievement will be displayed on our web page as entered by you - we urge you to review the content to check for misspelling and accuracy prior to submitting the form.

No file chosen
Please check the box below:*

Saxon Exceptional Leave of Absence

Please read the following guidance carefully

Please be aware that The Education (Pupil Registration)(England)(Amendment) Regulations 2013, state that Headteachers may not grant any leave of absence during term time unless there are exceptional circumstances. The Headteacher is also required to determine the number of school days a child can be away from school if leave is granted.

As parents, you have a legal responsibility to ensure your child’s attendance at school. During the academic year, pupils are at school for 190 days and at home for 175 days.

Please complete and submit this form if you wish for the Headteacher to consider your request for your child’s leave of absence for exceptional circumstances. We may ask for proof to validate your request. The Headteacher will consider the reasons for the request carefully and will notify you of the decision. For further information, please refer to our School Attendance Policy.

Unauthorised absence of 5 days or more (which do not have to be consecutive), may result in the issue of a Penalty Notice
Penalty Notices are issued by the Local Authority in accordance with Surrey County Council’s Code of Conduct. The Penalty Notice is £60, per child per parent/carer, if paid within 21 days or £120 if paid after 21 days but within 28 days. Failure to pay the Penalty Notice will result in the Local Authority considering legal proceedings against you in the Magistrates Court.

If your child usually has a school dinner please confirm if they still require one on the date of the planned absence:
No file chosen

ASaxon Photographic Images Consent Form

To comply with Data Protection Law, we need your permission to photograph or make any recording of your child.

The table below shows the different ways your child’s image/name may be used.


How: printed materials
Where: in school
Examples: display boards

Select one of the following*

Your child will be unidentifiable by full name and photograph combined unless agreed in advance with an adult with parental responsibility.
How: printed materials available from the school office; electronic version of newsletter uploaded to the school website; DVD available by purchase only
Where: school publications
Examples: newsletter, DVD

Select one of the following*

Your child will be unidentifiable by full name unless agreed in advance with an adult with parental responsibility.
How: published online on web pages
Where: school online publications
Examples: website, app, Google Classroom

Select one of the following*

Without name
How: published online to accompany schools post, posts viewable by general public.
Where: school social media
Examples: Facebook

Select one of the following*

News media may publish pictures along with the child's full name, but the school will seek an undertaking that a child's name will not be used if their image is put on the newspaper's own website.
How: printed materials available to purchase by the general public; published online on webpages.
Where: external press/media
Examples: newspapers, television images

Select one of the following*


• I have read and understood the consent asked of me above.

• My decision on whether to give consent will remain valid throughout my child’s time at the school, unless I notify the school on the contrary either in writing or via online form.

• I understand that I may withdraw my consent to any or all of the above at any point by notifying the school in writing to info.saxon@lumenlearningtrust.co.uk or Office Manager, Saxon Primary School, Briar Road, Shepperton, TW17 0JB.

• I understand that any changes made to the consents I grant cannot be applied retrospectively to materials already in print or published online.

• I understand I will automatically be given the opportunity to review my consents at the end of KS1 and change if required.

• Consents given apply for up to a maximum of 2 years after my child has left the school.

• I promise that if I, or members of my family, take photographs or video recordings at a school event, these will be kept for family use only.

• I, or members of my family, will not publish any material online that features an image of any child other than my own.

If there are further forms you would like to see on the website please let the School Office know info.saxon@lumenlearningtrust.co.uk

Saxon Primary School