Enrolment Form

Thank you for choosing Sacred Heart National School for your child’s early education.

Please complete the below online enrolment form and a member of our team will come back to you shortly. Alternatively, download the enrolment form here. Please print and complete the form in full, and return to the school. To download our Admissions Policy and our annual Admissions Notices, please see the links in our menu, under DOCUMENTS & POLICIES.

If you have any questions, please don’t hesitate to contact us on 01 837 9586.

Child's Information
Name * Required
First Name Last/Family Name
Class applied for * Required
School Start Date * Required
Child's PPS Number * Required
Child's Date of Birth - must be dd/mm/yyyy format * Required
DD slash MM slash YYYY
Child's Nationality * Required
Any brothers in this school? * Required

Brother(s) Name(s) and Class(es) *

Name	Class

Child's Education History
Has your son attended pre/play school? * Required
- Yes
- No
Name of pre/play school * Required
Telephone of pre/play school * Required
Is your son already in a state school? * Required
- Yes
- No
Name of school * Required
Telephone of school * Required
Address of School * Required
Family Information
Father's Name * Required
Father's First Name Father's Last/Family Name
Father's Occupation * Required
Father's Mobile Number * Required
Father's Work Telephone * Required
Father's Nationality * Required
Mother's Name * Required
Mother's First Name Mother's Last/Family Name
Mother's Occupation * Required
Mother's Mobile Number * Required
Mother's Work Telephone * Required
Mother's Nationality * Required
Communication
Home Telephone * Required
Mobile * Required
Email address * Required
Home Address * Required
The address at which the child normally resides

Street Address Address Line 2 City County Eircode
Emergency Contact Person(s)

Emergency Contact Person(s) *

If parents/guardians are not available. *

Name	Relationship to child (eg grandparent, etc)	Mobile number

Supporting Documentation
Birth Certificate
Drop files here or

Accepted file types: pdf, jpg, png, doc, docx, Max. file size: 1 MB.
Maximum file size - 1 mega bytes.
2 Utility Bills
i.e. Gas, Electric, Refuse, Water etc.
Drop files here or

Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 1 MB.
Maximum file size - 1 mega bytes.
Consents
Minor Accidents * Required
- Yes
- No
I consent for my son to be treated for minor accidents (e.g., cuts, grazes)
Medical Care * Required
- Yes
- No
I consent that my son may receive necessary medical care from a doctor, ambulance crew, hospital, etc., in the event of an accident or illness occurring, where the school is unable to contact parents/guardians.
School Outings * Required
- Yes
- No
I consent that my son may go on supervised school outings, such as local walks, school visits, school trips, sports events, etc.
Screening & Diagnostics * Required
- Yes
- No
I consent to in-school educational screening and diagnostic tests for my son, and follow-up learning support, if the school deem it appropriate.
Photographs * Required
- Yes
- No
I give permission for my child to be photographed for school projects, local newspapers and school-related activities.
School Website * Required
- Yes
- No
I give permission for my child's photograph and/or work to be used on the school's website.
I, the undersigned
Stay Safe Programme * Required
am aware that the school teaches the Stay Safe Programme, and the Relationships & Sexuality Programme, both of which are part of the Department of Education & Social Skills and Personal Health Education curriculum * Required
HSE data sharing * Required
am aware that the information on this form may be shared with the HSE (i.e. name and contact details for scheduling health screening such as hearing, vision, dental, etc) * Required
Internet AUP * Required
have read the school's Internet Acceptable Use Policy - Pupils', and agree to its terms (available on the school's website). * Required
Wish to enrol * Required
wish to enrol my child in Sacred Heart Boys' National School. * Required
Attendance * Required
undertake to see that my child will attend school punctually and regularly. * Required
Information Booklet * Required
have read and understood the school's information booklet, which is available on the school's website (or in hard copy from the office), and I undertake that I and my child will comply with all school rules and policies. * Required
Understood Consents * Required
have read and understood the above consents. * Required
Signatures
Signature * Required
The information I have given in this form is accurate.

Parents/Guardians *

All parents and/or guardians should sign here.

Name (Print)	Relationship to child (eg, mother, father, guardian 1, guardian 2)

Comments
This field is for validation purposes and should be left unchanged.

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Enrolment Form

Child's Information

Child's Education History

Family Information

Communication

Emergency Contact Person(s)

Supporting Documentation

Consents

I, the undersigned

Signatures

Cookie Policy