Príomháideach agus Faoi Rún (Private and Confidential).
Sonraí Pearsanta / Applicant details
Bliain / Year
Ainm an Pháiste / Child's names
Seoladh Buan / Address
Seoladh Buan 2 / Address 2
PPS #
Creideamh / Religion
Gnéas / Gender
Náisiúnacht / Nationality
Dáta Breithe / DOB
Do you wish for your child to receive the Sacraments
Eolas breise / Any other Information
Do you have other children attending the school
Do you have other children registered with the school
Please give their names and dates of commencement
Eolas Riachtanach Sláinte / Necessary Health Information
Ainm Doctúra / Doctor's Name
Guthán Doctúra / Doctor's Number
I gcás tinneas/timpiste an dtugann tú cead don scoil do pháiste a thabhairt ag an doctúir/oispidéal? /
In case of illness/accident do you give the school permission to take your child to the doctor/hospital?
Má tá aon eolas bhreise a cheapann tú a chabhródh leis na Múinteoirí tacaíocht a thabhairt do do pháiste cuir anseo é led thoil (m.sh. sláinte, bás, saol an teaghlaigh). /
If you feel there is any additional information regarding your child which may help the teacher, please fill in below (e.g. health, bereavement, domestic circumstances, history of dyslexia in the family etc.)
Tuigim gurb í an Ghaeilge teanga na scoile i gcónaí. Glacaim le rialacha uilig na scoile agus gealaim go dtacóidh mé i ngach bealach le bainistíocht agus múinteoirí na scoile. /
I understand that Irish is the primary language of communication in the school and accept the school rules and promise my full support to the management and teaching staff.
Tá Gaeilge líofa ag mo pháiste. /
My child can speak Irish fluently