Personal Details
(Required for stage 1 of the application process)
Email address for application & enrolment correspondence
*
example@example.com
Student Name
*
First Name
Last Name
Student Home Address
*
Street Address
Street Address Line 2
City
County
Eircode
Student Date of Birth
*
-
Day
-
Month
Year
Date
Name on Birth Cert if different to above
First Name
Last Name
Mother’s Maiden Name
*
Educational Details
(Required for stage 1 of the application process)
Name of current Primary School
*
Address of current Primary School
*
Street Address
Street Address Line 2
City
County
Eircode
Roll Number of current Primary School
*
Family Details
(Required for stage 1 of the application process)
Parent/Guardian 1 Name
*
First Name
Last Name
Postal Address if different from above
Street Address
Street Address Line 2
City
County
Eircode
Relationship to Child
*
(mother/father/other guardian) please provide details
Phone Number of Parent/Guardian 1
*
Please enter a valid phone number.
Format: (000) 000-0000.
Contact Email Address for Parent/Guardian 1
*
example@example.com
Parent/Guardian 2 Name
First Name
Last Name
Postal Address if different from above
Street Address
Street Address Line 2
City
County
Eircode
Relationship to Child
(mother/father/other guardian) please provide details
Phone Number of Parent/Guardian 2
Please enter a valid phone number.
Format: (000) 000-0000.
Contact Email Address for Parent/Guardian 2
example@example.com
Mobile Number for Messaging from School
*
This will be the ONE number which text messages will be sent to. Please make sure the school is aware of any change in your mobile number. This is essential for texting purposes.
Format: (000) 000-0000.
Correspondence should be sent to:
Guardian/Parent 1
Guardian/Parent 2
Both
Name(s) of Past Pupils (brother(s) and/or sisters) who attended this school and year of completion at the school.
Does the child have any Brothers/Sisters currently attending this school?
Include Name, Age, Class/Year
Please upload a Passport Size Photo
*
Browse Files
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of
Please upload a scan or image of Student's Birth Cert
*
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of
Signed Parent/Guardian
*
“I DECLARE THAT ALL OF THE ABOVE INFORMATION IS TRUE AND CORRECT”
Date
*
/
Day
/
Month
Year
Date
Submit Application
Should be Empty: