Enrolment Form: Junior Infants


Address: West End, Millstreet, Co. Cork.        Eircode: P51 V599

Prinicpal: Mrs. Siobhan Buckley                      Email: principal@millpresns.com

Office Email: office@millpresns.com                     

Office Telephone:  029 70957  

School Website: www.millpresns.com                     


Please email or post a copy of your child's Birth Cert and Baptismal Cert to the school.


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Email *
Child's First Name *
Child' s Surname: *
Child's Gender *
Child's Date of birth *
Child's PPS Number *
Child's Nationality *
Child's Country of Birth *
Child's Religion *
Child's Home Address  and Eircode *
Child's Home Telephone Number *
With whom does the child normally live? *
If you answered 'Other' to the above question, please give deatils.
Are there any court orders in place regarding your child?   *
Mother's  Name *
Mother's Occupation
Mother's Mobile Number *
Mother's  Email Address *
Father's Name
Father's Occupation
Father's Mobile Number
Father's Email Address
Person to be contacted in case of an emergency (if parents cannot be contacted) Emergency Contact 1 (Name, Relationship to child & Phone No.) * *
Person to be contacted in case of an emergency (if parents or Emergency Contact 1  cannot be contacted) Emergency Contact 2(Name, Relationship to child &  Phone No.) * *
Family Doctor (Name & Phone Number)
Do you agree to have your child treated by school staff for minor cuts, bruises, scratches etc? * *
Number of children in the family *
Name(s) of siblings in this school
Has your child attended pre-school? *
Name of pre-school attended *
 In order to give the best possible service and ensure every attention for the benefit of your child’s progress and education, please list any problems he/she may have in relation to health(allergies, epilepsy, asthma, sight, hearing, speech fainting etc.) toilet training, soother/pacifier use. Etc.  Please give details
I understand that if I Iisted any allergies or illnesses above, it is the parent's/ guardian's responsibility to inform the school of any medications that may need to be administered during school hours e.g. epipens, inhaler etc. I will make contact with the school, if necessary *
Has your child ever been referred to any of the following: Speech Therapist, Eye/Ear Specialist, Child Guidance Clinic or Psychological Services? Please give details
The Department of Education provide free bus transport to school for some children.  The scheme is administered by Bus Eireann.  In order to qualify for school transport, a child must be aged between 4 and 12 and living more than 3.2 kilometres (2 miles) from the nearest suitable national school; the Department of Education and Science decides what the nearest suitable school is.  Parents or guardians should note that the scheme is not a door-to-door service: parents are responsible for bringing their children to the nearest pick-up point to avail of the service                  Will your child be requiring school transport?   *
During the course of the school year, all classes will normally undertake a variety of different activities outside the school premises e.g. visit the church; swimming; football matches; athletics and any other activities that may arise. When we take the children on these outings, we increase the level of supervision to meet the needs of the particular activity. Permission slips are given out prior to many outings but we are seeking your general consent now: *
Tablets/ computers/ laptops and internet access in all classrooms give the pupils a very powerful tool for learning. The school has a very comprehensive ‘Acceptable Usage Policy’ for the use of these tools and we are asking you to grant consent for your child to use the computers in the school in accordance with those guidelines. We are seeking your consent for your child to use these devices and to access the internet *
We have a school website (www.millpresns.com) and we upload photographs/ videos of our students engaged in school related activities. Children are never individually identified. From time to time, external photographers from local newspapers/ local Millstreet Town website also publish photos of our students to publicise various school activities.  We are seeking permission to publish photographs/ videos of your child, should the occasion arise: *
Any further information that you consider of relevance: *
I understand that it is the parent's / guardian's responsibility to inform the school of any change of address, telephone number or other relevant circumstances / details. * *
The Department of Education and Skills has developed an electronic database of primary school pupils called the Primary Online Database (POD) which involves schools maintaining and returning data on pupils to the Dept. at individual pupil level on a live system. This information will be used to evaluate progress and outcomes of pupils at primary level, to validate school enrolment returns for grant payment and teacher allocation purposes, to follow up on pupils who do not make the transfer from primary to post primary level and for statistical reporting. The database will hold data on all primary school pupils. The database will also contain, on an optional basis, information on the pupil's religion and on their ethnic or cultural background. The data required for POD will only be uploaded to POD if your child is enrolled in our school. All other data we need for the efficient running of the school. This form will be retained by the school and will be strictly confidential. Do you consent to uploading data relating to ethnicity and religion to POD - Primary Online Database? *
Name of person submitting this form *
Please enter today's date *
A copy of your responses will be emailed to the address you provided.
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