MCS Re-Enrolment Form

MCS Re-Enrolment Form

Millstreet Community School
Student's Name*

First NameLast Name
Student's Class*
Student's Name

First NameLast Name
Student's Class
Student's Name

First NameLast Name
Student's Class
Student's Name

First NameLast Name
Student's Class
As a Parent/Guardian of the above student(s) I hereby confirm my intention to co-operate with the school authorities to support my child(ren) in upholding the values of the Code of Behaviour in Millstreet Community School. I accept that my child(ren)’s continuing attendance as a student of this school is conditional upon full acceptance of the Code of Behaviour.*

Yes, I accept.
I give my consent that photos/video images of my child(ren) may be used by Millstreet Community School for the following purposes:School Displays, School Publications, School Website and Social Media, Videos/Reports of school activities, Local and National newspapers*

Yes, I give my consentNo, I do not give my consent
Please state any medical condition for each child
Please state any Additional Education Needs (ensure that relevant reports are provided to the school for any AEN listed here)
Parent/Guardian email address*
example@example.com
Address*

Address

Address Line 2

CityCounty

Eircode
Parent/Guardian 1 Mobile Number*

PrefixPhone Number
Parent/Guardian 2 Mobile Number

PrefixPhone Number
Parent/Guardian Name*

First NameLast Name
Select Number for receiving text messages*

Parent/Guardian 1Parent/Guardian 2Both Parents/Guardians
Email address Parent/Guardian 1*
example@example.com
Email address Parent/Guardian 2
example@example.com
Parent/Guardian Signature*

Clear
Should be Empty: