Enrolment form
This form should be completed by parents/guardians of prospective pupils  Deliberate misinformation may lead to an offer of a place being declined.  The email addresses provided below will be used for all school correspondence.  When you press submit at the bottom of the application form you will automatically receive a copy of your submission to your email provided below. I look forward to contacting you when your application has been processed. Kind regards, Breda Murphy, Principal
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Email *
Pupil First name *
Pupil Surname *
Pupil address *
Eircode *
Date of Birth *
PPSN *
Gender *
Is one of the pupil's languages spoken at home) Irish or English *
Child's religion *
Do you consent to uploading data relating to religion to POD? *
To what ethnic or cultural background does your child belong(PLEASE PICK ONE) *
Do you consent to uploading data relating to ethnicity to POD? *
The following information is required for the efficient running of the school and will not be uploaded to POD. You do not need to answer this question.
Previous school/preschool attended and for how long *
Mothers name *
Please include home, mobile and work contact numbers as applicable *
Email address *
Father's name *
Please include home, mobile and work contact numbers as applicable *
E mail address *
Marital status *
Please supply details of any legal orders of which the school should aware:
Parents will be contacted with regards to the welfare of their child and on-going school events. Please tick which mobile to receive TEXT – A- Parent messages:       *
Parents will also be contacted from time to time about fund-raising events, book fairs, camps, community events, etc. Please indicate your consent by ticking the box below. *
Medical History regarding your child’s general health, speech, vision, hearing, allergies, behaviour, etc:  Please forward  any relevant reports / assessments to St. Oliver Plunkett N.S. Have you used the following services for your child? (if you have reports from any of the following services please post or email to the address below)
If you answered yes to other services above, please give further details.
Doctor name & phone number *
 Parent/Guardian not contactable - Please give 2 further options including their contact details. *
Who will collect your child at 1.45pm while she/he is in Infants? Please notify your child’s teacher if this changes. *
 Photos and Internet Use: The school website is a medium for us to communicate with parents and the wider community regarding events and achievements within and outside the school. Photos are uploaded of children’s work where the teacher deems appropriate. Please note that pupils are not identified by name. Photos are only kept on the website for the lifetime of the pupil at school.               We consent to the following: *
Required
We consent to the following: (Please tick as appropriate) *
Required
By typing the parents/legal guardians names in the box below you agree to co-operate with and support the school’s Code of Behaviour /Anti-Bullying Policy as well as all other policies on curriculum, organisation and management. These policies will be revised from time to time. *
Your child’s original BIRTH CERTIFICATE has to be received by the school. Please scan or photocopy as necessary and send the cert by post or e-mail to St. Oliver Plunkett NS, Newcastle, Athenry, Galway/ newcastlens@yahoo.ie at your earliest convenience.               (photocopy taken at school and original returned to you if necessary)   Thanks for taking the time to fill out the form. I will be in contact with you according to the dates on the Admission Notice which is available on the school website.
A copy of your responses will be emailed to the address you provided.
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