Enrolment form

HOLY FAMILY NATIONAL SCHOOL

Carrickboy, Ballyshannon, County Donegal.

 

Principal – Mr. Conor Carney                      Tel.    072/51689

                     Junior School                                       072/51061

Enrolment Form

 

 

 

 

Names of Parents/Guardians: _____________________________________________________

 

Address: _______________________________________________________________________

 

Home Telephone No. ___________________         Work Tel. No. _____________________

 

Mobile No. __________________________         Contact No. _________________________

 

Form of Employment: (for Government statistics only)

 

___________________________________________________________

 

 

Family Religion: ___________________________________________

 

 

 

 

 

Child’s Full Name: __________________________________________________________

 

Position of child in family: ___________________________________________________

 

Date of Birth: _________________________

 

Date of Baptism: _______________________

 

Place of Baptism: ______________________________________________

Or Baptismal Certificate if the child is born outside the local Parishes.

 

Play School:          Yes                 No                    (Please tick appropriate box)

 

Previous School: ( if applicable) _______________________________________________

 

 

 

 

 

 

In case your child should become ill and there is no one at home please give the name, address and telephone number of two people we could contact.

 

Medical File

 

Is there anything you would like the teachers to know about your child in relation to ailments , allergies, syndromes or special needs.

 

___________________________________

___________________________________

___________________________________

___________________________________

___________________________________

___________________________________

___________________________________

 

 

 

Family  Doctor:

 

____________________

 

Contact 1.

Name: _____________________  

 

Address: ___________________

 

                ___________________

Tel. No. ________________  

 

 

Contact 2.

Name: _________________________  

 

Address: ________________________ 

 

                ________________________

Tel. No. _________________________  

 

 

Class Entry

 

Month of Entry: ________________      Year of Entry: ______________

 

(Please tick box.)

 

Junior Infants                           Senior Infants 

 

 

1st   Class                                   2nd Class        

 

 

3rd Class                                   4th Class         

 

 

 

5th Class                                    6th Class        

 

 

 

 

 

 

 

Year of entry: __________

 

Class September:

2nd Class o

 

3rd Class o