Name of child (as on Birth Certificate) * Date of Birth * Gender * PPS Number * Nationality * Country Of Birth * If not born in Ireland, date which child arrived in Ireland Religion Location Baptised Mother's Nationality Father's Nationality Will your child require additional support with the English Language? * Previous playschool or school attended * Do you give permission for the relevant teacher to contact your child’s previous school? * Medical & Allergy information: Child’s Doctors name and contact number: * Do you give permission to bring your child to the doctor/hospital if an emergency arises? * Emergency Contacts (If parents are unavailable) Include Full Name, Contact Number and Relationship to the child. * Name of brothers/sisters in the school: Position of child in your family: (first born etc..) * Address at which child resides: * Eircode * Does any legal order under Family Law exist that the school should know of? Is it necessary for school reports, notice of meetings etc. to be sent to more than one address? Please give name, address and email of that person: Mother's Name Mother's mobile number Mother's Email address: Mother's work contact number: Father's Name: Father's Mobile Number: Father's Email Address: Father's work contact number: Please nominate one mobile number and one email address to receive information from the school: * Did your child attend the Early Intervention Services? (If so, please attach relevant reports) * Has your child ever had a psychological assessment? (If so, please attach relevant reports) * Has your child ever received a Speech and Language or Occupational Therapy Report? (If so, please attach relevant reports) * Does your child have any health related problems? (allergies, epilepsy, diabetes, asthma, fainting etc…) * Please give details on health related problems. Does your child have any difficulties with hearing? * Does your child have any difficulties with vision? * Does your child have any difficulties with speech? * Does your child have any issues socially or behaviourally that the school should know about? * If so, please give details Does your child separate from you easily? * What do you feel your child’s needs are? Any further information from the questions above or anything else we should know please write here: Names of children from playschool that your child is particularly friendly with: I give permission for my child to go on school trips under teacher supervisions. (e.g. matches, chess, robotics etc..) * I give permission for my child’s photograph and/or work to be used on our school website, school Facebook and Twitter pages or in other school publications or displays etc.. Sometimes journalists take pictures of the children e.g for awards/prizes, 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?(Your child will not be identifiable i.e. their name and photograph will not be together.) * I give permission to allow my child to enter school competitions and for their name and date of birth to be shared with the organisers * I give permission for my child to attend Learning Support/Resource Teacher (now known as S.E.T.) if deemed necessary. * The HSE links with schools to organise dental, vision checks, vaccinations and other appointments. Do you consent for your child's name, date of birth and other contact information to be shared for this purpose? * Do you consent to your child using digital learning platforms, for example Class Dojo/Seesaw/Other? * During your child’s time in Kilmurry National School, it may be necessary from time to time for teachers to carry out diagnostic testing with your child on an individual basis in order to help them in their educational development. I give permission for any necessary diagnostic tests to be carried out with my child. * I want my child to take part in the book rental scheme. (Our school runs this scheme which saves parents from buying multiple books each year.) * I give permission to the Principal of Kilmurry National School to transfer relevant information, such as records and reports, to relevant persons when my child transfers to secondary education. * Section 6: Agreement to abide by school policies (all available at www.kilmurrynationalschool.ie) I acknowledge that I have read and accepted: Code of Behaviour Policy; Bullying Policy; Admissions Policy; Healthy Eating Policy; School’s Social Media Policy; Internet Acceptable Usage Policy - of Kilmurry National School, having discussed and explained same with my child I agree to abide by them. I wish to enrol my child * I declare the above information to be correct and understand that it will be treated as confidential. * To be completed if your child is transferring from another Primary School/Previous School Address of School: Telephone Number of School: What class was your child in when he/she left the school? Reason for transfer? We require reports from previous schools in order to meet the needs of your child. Have you enclosed a copy of the most recent school report?