2021 Booterstown, Blackrock and Dun Laoghaire ETSS Enrolment Form

Please read the schools Admission Policy before completing this application form. The Admissions is available to view and download from the school website.

For admission to Booterstown, Blackrock and Dun Laoghaire Educate Together Secondary School in September 2021, students must reach the age of 12 years on or before January 1st 2022.

Submission of an admission form for enrolment is not a guarantee of a place in Booterstown, Blackrock and Dun Laoghaire ETSS (see Admissions Policy)

Parents/Guardians must respond in writing to confirm an offered place for their child within 14 days of that offer being made. Failure to do so may result in your child's place being forfeited.

It is the responsibility of parents/carers to inform Booterstown, Blackrock and Dun Laoghaire Educate Together Secondary School of any change of address, contact details or other relevant information that may occur after submission of this form.

Please take care when filling out this form as offers of places in the school will be based on the information supplied.

After submitting the form you will be directed to an acknowledgment page. You will also receive an email receipt to the email address entered on the form. This email address will be our primary contact with you.

This form is only for entry in first-year in 2021. If you are seeking to transfer and repeat a seperate process will begin in May 2021 subject to places being available.

Please Note: Booterstown, Blackrock and Dun Laoghaire Educate Together Secondary School is only accepting applications in respect of first-year entry for the academic year 2021/22 at this time.

Section A Student Information

Student Name *

First Name Middle Name Last Name

Gender *

Male Female

Date of Birth *

Day Month Year

Current Primary School *

Other Schools Attended

Please Note: Booterstown, Blackrock and Dun Laoghaire Educate Together Secondary School is only accepting applications in respect of first year entry for the academic year 2021/22 at this time.

Year Starting *

Class *

Section B: Special Class Application

Please note students mush have an ASD diagnosis and a formal recommendation for a place in a class for students with Autism.

Please see Admission Policy Policy for more details.

Is your child applying for a place in the Class for Students with Autism? *

Section C Parent / Carer Information

Parent 1 / Carer 1 Name *

First Name Last Name

Parent 2 / Carer 2 Name

First Name Last Name

Address *

Street Address

Street Address Line 2

Town County or Postal District

Eircode

E-mail

I agree to my contact details being used to receive updates and news from Booterstown, Blackrock and Dun Laoghaire Educate Together Secondary School and Educate Together and understand that I can unsubscribe at any time

Yes subscribe me to the newsletter

HomePhone Number

Area Code Phone Number

Mobile Phone Number

Area Code Phone Number

I understand, in submitting this form, that the information may be made available to the Department of Education and Skills (DES) in order to plan for school development.

Please Note: Booterstown, Blackrock and Dun Laoghaire Educate Together Secondary School is only accepting applications in respect of first-year entry for the academic year 2021/22 at this time.