Kildimo NS‎ > ‎

Enrolment Form

 

Kildimo National School

  Enrolment Form

 

Please use BLOCK CAPITALS

 

Child's Name:…………………………… Date of Birth…………………

 

Nationality………………. Religious Denomination……………………..

 

Languages spoken at home…………………………………………………

 

Kildimo NS is a Catholic school and as such it has a Catholic ethos.

Non-Catholics should be aware that, for supervision reasons, your child will be in attendance at Catholic Masses and Ceremonies during the year.

 

Please include a copy of child’s Birth Cert and Baptismal Cert with this application.

 

Child’s Address:…………………………………………………………

 

Please note  that all correspondence will be sent to child’s address above, unless otherwise informed. Please contact the school if you wish both parents/ guardians to receive notification regarding Parent/ Teacher meetings, reports etc.

Mother’s Name: ……………………..Father’s Name:…………………………..

 

Address:…………………………… Address:…………………………………

 

………………………………………             …………………………………..

 

Occupation:………………………… Occupation:……………………………..

 

Tel No: Home:………………..             Tel No: Home……………………

            

  Work:…………………                                 Work:…………………

         

            Mobile:……………….                        Mobile:……………….

           

Mobile No: on which you would like to receive the text messages:…………….

 

No. of children in family:……… Position in family (e.g. 1st child etc.)………..

 

Names of brothers / sisters in school: ………………………………………….

 

Has your child been baptised? …… Date & Place of Baptism: ……………….

 

Preschool attended:……………………………… Tel No:…………………….

 

 

Other primary schools attended:………………………………………………..

 

Current Class :………………Tel No. of previous school:……………………..

 

Please include a copy of last school report if moving from another school.

 

Irish version of child’s name (otherwise school will translate):……………..

 

Name of family doctor:…………………………… Tel No:……………..

 

Has your child ever attended: Speech Therapist …… Occupational Therapist…. Psychologist…… Counselling….. Other( give details)……………………….

If yes, a copy of reports should accompany this form.

 

Does your child have any known allergies? …………………. If yes please give

 

details:…………………………………………………………………………....

 

Does your child have any physical or emotional problems which might affect his/ her ability to learn and/ or to interact  with staff and students? ………………….

If yes, please specify: …………………………………………………………….

 

Any other useful information for instance list any problems child has in relation to health, toilet training, buttons, laces etc…………………………………………….

 

Name of person who may be contacted if child is ill, if neither parent is not available:…………………………………………… Tel No:………………………

 

Relationship to child(e.g. grandparent, minder etc.)………………………………….

 

In the case of minor accidents, such as slight cuts and grazes, the cut is normally washed with water. If the accident is serious parents are informed immediately and are asked to collect the child to bring him/her for treatment.

 

Do you give permission to take child straight to hospital in case of serious illness or accident:        yes/ No

 

On occasion during the school year children may be filmed or photographed for the school website, or their work may be used for our website or as part of any number of projects the school is involved in. Our protocol for all these is that children are never individual named or photographed. However, if you do not wish your child to be photographed please write to the Principal.

 

Some times the school is requested to pass on names of children and their address to the HSE for immunisation/dental purposes, to secondary schools when children are transferring to second level, to sporting bodies. Do you give the school permission to pass on this information to these bodies?         Yes/ No

 

You will be contacted in due course regarding an information eve for parents, at which you will be issued with an Information Booklet with all relevant information regarding school rules and procedures, books, uniform etc.

 

I certify that the information I have given in this form is correct.

 

Signed:                 Mother: …………………………………    Date: …………..

 

Father: …………………………………      Date: …………..

 

Have you attached?:      - Birth Cert                             

 

-Baptismal Cert

 

-Any relevant reports/ assessments

 

Do you give permission to pass on your child’s details to the HSE, if required:……..

 

Do you give permission for your child to take part in the ‘Stay Safe’ Programme:…..

 

Does any legal order under Family Law exist that the school should know about, if yes give brief outline:

…………………………………………………………………………………………

 

The school should also be made aware of any court order which affects the child’s welfare and also the name of any person into whose custody the child should NOT be given:……………………………………………………………………………

 

The following Kildimo National School Policies are available on the school Website (www.kildimons.ie), please read them carefully.

·        Code of Behaviour

·        Child Protection Policy

·        Enrolment Policy

·        Acceptable Use Policy( internet)

 

If you do not have access to the internet, please inform the school and we will provide hard copies.

 

I confirm that I have read the above policies and I agree that the pupil enrolled will be subject to those codes and policies:

 

Signed : ________________________Parent/ Guardian.

 

Do you give permission for you child to go on school trips under supervision during the school day (e.g. school tours, swimming, local historic/ nature walks)? …………

Sometimes journalists visit our school to take pictures of the children (awards, sporting events, first day at school etc.) Do you give permission for your child to be photographed for school projects, local newspapers and school related activities?......

 

Kildimo N.S. tel. No.:061-394500, Fax. No.:061-394500, e-mail address: info@kildimons.ie