Pre-Enrolment Form - Castleknock Educate Together National School printable pdf download

CASTLEKNOCK EDUCATE TOGETHER NATIONAL SCHOOL

Beechpark Avenue, Castleknock, Dublin 15

PRE-ENROLMENT FORM MAINSTREAM & OUTREACH UNIT

Child’s Surname: _____________________Childs first name:____________________ Male/Female:____________

Date of birth:

_______________

Year to Start Child at CETNS__________ P.P.S Nr: _________________

(Junior Infant children must be 4yrs old on 30

of June of enrolment year)

In which class do you require a place Mainstream: ______ Unit:______ Currently in school: Yes __No ___

Yes ____

No____

Has your child attended another Primary School/Unit?

If yes, please communicate below. Your child’s teacher should provide a written report.

Name of school: __________________________________________ From: __________ To: ____________

Address:

_____________________________________________________________________________

Does your child have any illness, allergies or developmental difficulties of which you feel the school should

be aware? Yes ___ No ___ If yes, please give details:

_________________________________________________________________________________

Do you have other children enrolled in CETNS, if yes, state name and class:_____________________________

PLEASE SEND US A COPY OF YOUR CHILD’S BIRTH CERTIFICATE WITH THIS FORM.

Parents/Guardian Information

Mother’s name: ________________________ Home Tel: _____________ Mobile: ____________________

Father’s name: _________________________ Home Tel: _____________ Mobile: ____________________

Mother work ph no: __________________________ Father work ph no: ________________________________

Home Address: ___________________________________________________________________________

________________________________________________________________________________

Email address (if any)______________________________________________________________________

I understand that allocation of places in the CETNS will be strictly on a ‘first come first served basis’.

I understand that there is NO SIBLING POLICY in CETNS.

I understand that I must post this completed form to the Pre-enrolment officer at the school.

I understand that receipt of a pre-enrolment form DOES NOT guarantee that the child will be offered a place.

I understand that it is my responsibility to inform the school of any change in address, telephone number or other

circumstances.

I understand that if I have not replied to a confirmed offer of a place for my child within 14 days of that offer being

made, I have forfeited my place on the pre-enrolment list.

Signed: __________________________________ by Guardian/Parent Date: _______________________

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FOR CETNS USE ONLY

Date of receipt of form _______________________ Pre-enrolment number: ______________________

Year in which the child will start in CETNS: _____________

Class: ___________________________

Pre-Enrolment Form - Castleknock Educate Together National School