NEW SHAPES AFTER-SCHOOL
Application Form
ACE Enterprise Centre, Neilstown, Clondalkin, D22 TH28 085 175 7680 newshapesdublin@hotmail.com
Interested in a place for your child? Fill in this short form and we'll be in touch. Once a place is confirmed, we'll give you our full registration pack to complete.
Child's name
Child's date of birth
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Day
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Month
Year
Date
Parent / Guardian name
Parent's contact number
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Area Code
Phone Number
Email
example@example.com
School the child is currently attending
Preferred start date
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Day
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Month
Year
Date
Service interested in (tick all that apply):
After-School (1:15-6pm)
Breakfast Club (7:30-9am)
Holiday camps (9am-2pm)
Return this form by email to newshapesdublin@hotmail.com, hand it in at reception, or call us on 085 175 7680 — we'd love to hear from you!
Signature
New Shapes Limited Registered in Ireland Company No. 749501 Tusla-registered school age service Registered with the National Childcare Scheme
Date
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Month
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Date
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