Child Protection Pupil Declaration

Pupil's Name (As per the email request)

Pupil's UPN *

Pupil's Date of Birth *

Your School *

Do you hold any Child Protection Records for the Above Pupil? *

NO, I confirm there are no CPR for this pupil
YES, I confirm we hold CPR for this pupil

If Yes, please contact Tracy Preston, Designated Safeguarding Lead by emailing tracyp@kingalfred.org.uk or complete the below with further information. **For schools using CPOMS, documents can be transferred securely and digitally by entering King Alfred School Learning Centre Number which is 3026004 - please email Tracy to advise that you are transferring documents** *

Do you hold any pastoral files for this pupil *

NO
YES

If Yes please state below *

Name of Staff Member *

Position of Staff Member *

Signature *

Clear Signature

Date *

Email *

Child Protection Pupil Declaration

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