Scoil Mhuire Gan Smal Registration Form 2025 2026 First Year

1
Acceptance of place* This field is required.Please confirm that you are accepting the place offered for your daughter/son.
Yes, I accept the place offered for my daughter/son.
No, I do NOT accept the place offered for my daughter/son.
2
Acknowledgement of Non-Acceptance of place* This field is required.YOU CONFIRM THAT YOU DO NOT WISH TO ENROL YOUR SON/DAUGHTER INTO SMGS BLARNEY.
I confirm that I do NOT accept the place offered for my daughter/son.
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Student Name* This field is required.
First Name
Last Name
4
Student Date of Birth* This field is required.
Date
Day
Month
Year
5
Address* This field is required.
Street Address
Street Address Line 2
City
County
Eircode
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
6
Primary School currently attending* This field is required.
7
Languages - List A* This field is required.Please choose either French or German as a modern foreign language.
German
French
8
Optional Subject Choices

In the next step, please adjust your optional subject preferences. Whilst you will receive a copy of your submission, please take note of your preferences.

Every effort will be made to offer students their first two preferences but this cannot be guaranteed due to constraints imposed by space, resources and staffing approved and provided by the Department of Education & Science.
9
Optional Subject Choices List B - 1st Yr Students 2024/25 (on smaller screens, scroll to see all options)* This field is required.Please adjust your optional subject preferences by moving the subjects in the order of preference (1 being first preference, 6 being lowest preference).
10
Exemption from Irish* This field is required.Does the student have a certificate of exemption from the study of Irish issued in accordance with relevant DOE circulars. (Documentary evidence will be required to support this)
YESNO
11
Additional Education Needs (AEN)/Availed of Learning Support* This field is required.Does your son/daughter have any additional education needs or has he/she availed of learning support in primary school? If you select yes, please complete the following questions.
YESNO
12
Does the Student have a report?* This field is required.
YESNO
13
If yes, please tick the relevant report(s)* This field is required.
Educational Psychological Reports
Access to ASD Services
Access to Mental Health Services (Private or Public)
Occupational Therapy
Other
14
Has the student availed of SNA support in primary school? * This field is required.(official documentation from primary school will be required to support this)
YESNO
15
Has the student been granted assistive technology in primary school (Laptop, etc.)* This field is required.(NCSE decision letter will be required to support this)
YESNO
16
Learning Support in primary* This field is required.Has the student had access to Learning Support in primary school? If you select yes, please provide details in the subsequent space.
YESNO
17
Additional Learning Support Received* This field is required.Please detail additional learning support received in primary school.
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18
Medical Conditions* This field is required.Are there any medical conditions of which the school needs to be aware of?
YESNO
19
We request that students with the following conditions should bring in some back up medication to be stored in school. This should be handed in to reception at the start of the school year.

A) Students with epilepsy should provide a doctor’s note with prescription details. Also a back up supply of buccolam for us to keep at the office.

B) Students with allergies requiring an Epipen, should hand in a back up pen.

C) Diabetic students should bring in their back up insulin injections for storage in the school fridge.
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Details - Medical ConditionsPlease give brief outline here of the medical conditions. The school will make contact in due course for more detailed information.
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What action is required if your child becomes ill and needs assistance?
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Medication* This field is required.Does the student require medication to be stored on school premises in the event of an emergency?
YESNO
23
Details - MedicationPlease give brief outline here of the medication. The school will make contact in due course for more detailed information.
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Medication Dosage Details
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Ok
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Medication Storage DetailsWhat type of storage is required?
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What signs/symptoms may indicate that your child may need this medication?
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27
Is Epilepsy your child's medical condition?
YESNO
28
Please state how many minutes before Buccolam is required.Please note: This form must be accompanied by a Doctor’s / Neurogolist’s note stating the dosage and the timing required before the medication is administered.) You can forward this by post or hand it in to the school reception.
29
Authorisation Signature MedicineWe request that the principal will authorise the taking of prescription/non-prescription medicine during the school day as it is absolutely necessary for the continued well-being of my/our child. I/We understand that we must inform the school/teacher of any changes of medicine/dose in writing and that we must inform the school each year of the prescription/medical condition. I/We understand that the teachers of the school cannot be held personally responsible for any act carried out in an emergency situation, or when providing assistance to our child who is in need of first aid, or appears to be suffering from any illness or condition.
Clear
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Emergency Contact 1
First Name
Last Name
31
Emergency Contact 2
First Name
Last Name
32
Emergency Contact 3
First Name
Last Name
33
Child's Doctor
First Name
Last Name
34
Child's Doctor Phone Number
Please enter a valid phone number.
35
Sports
Camogie
Basketball
Equestrian
Futsal
Hurling
Football
Rugby
Soccer
Other
36
DetailsIf you have selected "other" - please specify
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Clubs and Societies
Amber Flag
Baking Club
Coding
Coiste Gaeilge
Debating
Green Schools
Lego
Maths Club
Music
Reading Den
Robotics
Young Scientists
Other
38
DetailsIf you have selected "other" - please specify
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Ok
39
Code of positive behaviour* This field is required.
I confirm that I have read and understood the code of positive behaviour.
40
G Suite for Education Permission* This field is required.At Scoil Mhuire gan Smál, we use G Suite for Education, and we are seeking your permission to provide and manage a G Suite for Education account for your child. G Suite for Education is a set of education productivity tools from Google including: Gmail, Calendar, Docs, Classroom, and more used by tens of millions of students and teachers around the world. At SMGS Blarney, students will use their G Suite accounts to complete assignments, communicate with their teachers, and learn 21st century digital citizenship skills.
Yes I give permission.No, I do NOT give permission.
41
Data Protection Statement

Due to significant changes in EU data protection law since 25th May 2018, The General Data Protection Regulation requires us to adjust the way in which we handle your child’s data in order to protect them from any possible data breaches. Please read and complete the following form carefully in order for us to update your child’s student file.
Personal Data on this Form:
Scoil Mhuire gan Smál is a data controller under the Data Protection Acts, 1988 and 2003. The personal data supplied on this form is required for the purposes of:
· student enrolment
· student registration
· allocation of teachers and resources to the school
· determining a student’s eligibility for additional learning supports and transportation
· examinations
· school administration
· child welfare (including medical welfare)
· and to fulfil our other legal obligations.

While the information provided will generally be treated as private to Scoil Mhuire gan Smál, and will be collected and used in compliance with the Data Protection Acts 1988 and 2003, from time to time it may be necessary for us to transfer your personal data on a private basis to other bodies (including the Department of Education & Skills, the Department of Social Protection, An Garda Síochána, the Health Service Executive, Tusla (CFA), social workers or medical practitioners, the National Educational Welfare Board, the National Council for Special Education, any Special Education Needs Organiser, the National Educational Psychological Service, or (where the student is transferring) to another school). We rely on parents/guardians and students to provide us with accurate and complete information and to update us in relation to any change in the information provided. Should you wish to update or access your/your child’s personal data, you should write to the school principal requesting an Access Request Form.
42
School Contacting YouPlease confirm if you are happy for us to contact you by SMS / Text message and to call you on the telephone numbers provided and to send you emails for all the purposes of: · sports days · parent teacher meetings · school concerts/events · to notify you of school closure (e.g. where there are adverse weather conditions) · to notify you of your child’s non-attendance or late attendance or any other issues relating to your child’s conduct in school · to communicate with you in relation to your child’s social, emotional and educational progress and to contact you in the case of an emergency. Please note: Scoil Mhuire gan Smál reserves the right to contact you in case of an emergency relating to your child, regardless of whether you have given your consent.
I consent to using my mobile phone number to receive SMS texts to alert me to these issues.
I consent to using my mobile phone/landline number to call me to alert me to these issues.
43
School sending you direct marketingWe would like to send you emails/SMS text messages or call you or write to you at your home address to inform you of special offers or promotions by certain third parties involved in the supply of school stationery and school uniform supplies etc. (e.g. O’ Neill’s Tracksuits). Do you give your consent for us to do each of the following:
I consent to using my mobile phone number to receive SMS texts/app notifications in relation to these offers.
44
Photographs of Students* This field is required.The school maintains a safe database of photographs/ video footage of school events held over years. It has become customary to take photos or videos of students engaged in activities and events in the interest of creating a pictorial as well as historical record of life at the school. Photographs or videos may be published on our school website, social media platforms or in brochures, yearbooks, newsletters, local and national newspapers and similar school-related productions. In the case of website photographs, student names will not appear on the website as a caption to the picture. If you or your child wish to have his/her photograph removed from the school website, social media platforms, brochure, yearbooks, newsletters etc. at any time, you should write to the school principal.
I am happy to have my child’s photograph taken as part of school activities and included in all such records.
I prefer NOT to have my child’s photograph taken and included in such records.
45
Parent/Guardian email* This field is required.Primary parent/guardian email address for various communications:
example@example.com
46
2nd Parent/Guardian email (where required)Where a second, separate parent/guardian email address is required for various communications:
example@example.com
47
Parent/Guardian Name* This field is required.
First Name
Last Name
48
Signed Parent/Guardian* This field is required.
Clear
49
Date* This field is required.
Date
Day
Month
Year
Should be Empty: