St. John's Parochial School Enrolment
APPLICATION FOR ENROLMENT. COMPLETION OF THIS FORM DOES NOT GUARANTEE A PLACE IN THE SCHOOL. PLEASE FORWARD A COPY OF YOUR CHILD'S BIRTH CERTIFICATE WITH THIS APPLICATION.
Childs Name
*
First Name
Last Name
Date of Birth
*
-
Day
-
Month
Year
Date
Gender.
*
Male
Female
Parent/Guardian
PPSN
*
Address
*
Address Line 1
Address Line 2
Town
County
Eircode
Current School/Preschool/Creche attended
*
Which class are you wishing to enrol in?
*
Please Select
Junior Infants
Senior Infants
First Class
Second Class
Third Class
Fourth Class
Fifth Class
Sixth Class
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Mothers Name
*
First Name
Last Name
Fathers Name
*
First Name
Last Name
Mothers email address
*
example@example.com
Fathers email address
*
example@example.com
Mothers Mobile Number
*
-
Area Code
Phone Number
Fathers Mobile Number
*
-
Area Code
Phone Number
Religious Affliiation
*
Please Select
Church of Ireland
Roman Catholic
Presbyterian
Methodist
Jewish
Muslim
Orthodox
Pentecostal
Hindu
Buddist
Johovahs Witness
Lutheran
Atheist
Baptist
Agnostic
Evengelical
Christian
Other Religion
No Consent
Please indicate the primary language spoken at home?
*
Please Select
English
Irish
Polish
Czech
Ukrainian
French
Italian
Spanish
German
Dutch
Hindi
Bengali
Chinese
Arabic
Turkish
Japanese
Swahili
Other
If not listed above, please state here:
If the language you speak is not listed, please specify it below.
Nationality
*
Date
*
-
Month
-
Day
Year
Date
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Childs Name
*
First Name
Last Name
I/We give consent for any necessary diagnostic tests to be carried out with my child.
*
Yes
No
Parent/Guardian
I/We give consent to allow my/our child to attend the Learning Support/Resource teacher
*
Yes
No
Parent/Guardian
I/We give consent to allow my/our child’s photograph to be taken/child be filmed in school-related activities, sports events, special occasions competitions etc.
*
Yes
No
Parent/Guardian
I/We give consent to allow my/our child’s photograph/image/film to be included in school-related Newsletters and Social Media.
*
Yes
No
Parent/Guardian
I/We give consent for a third party to take photographs at school related activity
*
Yes
No
Parent/Guardian
I/We give consent for SNA’s to assist my/our child with changing in the common area before/after swimming at their request
*
Yes
No
Parent/Guardian
I/We give consent to allow my/our child to leave the school premises under the supervision of the class teacher for school trips, class trips to library etc.
*
Yes
No
Parent/Guardian
I/We give consent to allow the school to liaise with pre schools/previous schools in relation to my/our child?
*
Yes
No
Parent/Guardian
I/We have read and adhere to the schools Code of Behaviour Policy. (The Code of Behaviour Policy can be found our website)
*
Yes
No
Does your child require SNA access.
*
Please Select
Yes
No
If Yes, please provide details
Does your child have a medical diagnosis we need to be aware of.
*
Please Select
Yes
No
If Yes, please provide details
Does your child have any allergies we need to be aware of.
*
Please Select
Yes
No
If Yes, please provide details
Ethnic or cultural background
Please Select
White Irish
Irish Traveler
Roma
Any other background
Black or Black Irish - African
Asian or Asian Irish - Chinese
Asian or Asian Irish - Indian/Pakistani/Bangladeshi
Other including mixed background - Arab
Other (including mixed background)
Submit
Should be Empty: