Príomh Oide; Gerard O Donoghue

www.snmfearann.com

Príomh Oide; Gerard O’Donoghue.

Roll Number: 18487H.

Enrolment Form

Pupil’s Forename: ______Surname: ______

Birth Cert Forename; (if different from name above) ______

Birth Cert Surname; (if different from name above) ______

Address: ______

Irish Version of Child’s Name: ______

Date of Birth: ______P.P.S. No: ______

School Year for enrolment; ______

Has your child attended another school, if so what school? ______

What class level reached? ______

Father’s Name: ______Occupation: ______

Mother’s Name: ______Occupation: ______

Mother’s Maiden Name; ______

Is one of the pupil’s mother tongues (i.e. language spoken at home) Irish or English?

Yes No

Religious Denomination: ______Nationality: ______

Continued overleaf

To which ethnic or cultural background group does your child belong? (Please tick one)

White Irish / Black or Black Irish - African / Other (inc. mixed background)
Any other White Background / Any other Asian background / No Consent
Asian of Asian Irish - Chinese / Roma / Asian or Asian Irish – Any other Asian background
Irish Traveller / Black or Black Irish or Any other Black background

In order to fully populate the Department of Education & Skills Primary Online Database do you give your consent to include your child’s religion and ethnic background?

Yes; No

Telephone Nos. Home: ______

Work: (Father) ______Mob: ______

Work: (Mother) ______Mob: ______

email Address: ______

Mobile No. for Text a Parent: ______

Other Contact Numbers:

Name: ______Number: ______

Has your child attended;

Day-care or Crèche facilities Montessori Nursery School Naoinraí

Other pre-primary education setting

Does your child have any siblings attending the school? Yes No.

If so, which class are they in. ______

Medical Information: Please indicate if your child has any health difficulties.

Note: In the event of a change in condition please inform school. Continued

Assessment:

Has your child had a Speech & Language, Occupational Therapy or Psychological Assessment, if so please supply a copy of same.

N.B.

Please attach a copy of child’s birth certificate.

(To be retained in school’s records)

Please attach a copy of baptismal cert if child was baptised outside the parish.

Please include also your child’s P.P.S. No. (Can be obtained from Dept. of Social & Family Affairs)

Do you give permission for your child to go on school trips and tours under teacher supervision?

From time to time children partake in matches, competitions, and other educational/social outings at which, school personnel or outside agencies may photograph or video these events and such photographs may be published.

Do you give permission for your child to be photographed? .

The Board of Management cannot be held responsible for pictures/videos taken by others at school events/celebrations.

Do you give permission for your child’s photo to be used and their work displayed on the school website and on the class blogs?

Sometimes the school is requested to pass on names of children and their addresses and other details to the Health Board for immunisation purposes, to secondary schools when children are transferring to second level, to sporting bodies etc. when children are taking part in games etc outside the school. Do you allow the school to pass on this information to these bodies?

The school teaches Relationships and Sexuality Education (R.S.E.) using the guidelines provided by the Department of Education and Skills.

I give permission for my child to take part in R.S.E. lessons.

Please notify the school in writing if you do not wish your child to take part in R.S.E. lessons.

Continued overleaf

Do you give permission for the school Principal and/or your child’s class teacher to contact outside professional agencies regarding your child’s education?

Do you give your consent for your child’s engagement with our school learning support services, (in-class support, withdrawal in small groups for literacy/numeracy/social skills development, a high achievers group, screening/diagnostic assessments or whole class teaching)

The children in Nead na Coille integrate with the mainstream pupils in their classrooms. There is also reverse integration where the children in the mainstream classes spend time in the Nead na Coille classrooms.

Do you give permission for your child to partake in this reverse integration?

We have received and read the “Code of Behaviour”

We will co-operate with the staff and support the ethos of the school.

The information I have given in this form is accurate.

Signed: ______Parent/Guardian. Date: ______

Permission for use of the Internet.

Name of Pupil/Pupils (please print) ______

As a parent or legal guardian of the above pupil/s, I grant permission for my son/daughter or the child in my care to access the Internet. I understand that Internet access is intended for educational purposes. I also understand that every reasonable precaution has been taken by the school to provide for online safety but the school cannot be held responsible if pupils access unsuitable websites.

In relation to the school website, I accept that, if the school considers it appropriate, my child’s schoolwork may be chosen for inclusion on the website.

Signature; ______Date; ______