Admission Form

Name

First Last

Name of Pupil (as on birth cert.)(Required)

First Last

Upload a copy of your child's birth certificate.(Required)

Max. file size: 2 MB.

Name used (if different)

First

Date of Birth(Required)

PPS Number(Required)

Gender(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region Eircode

Country of Birth(Required)

Language(s) spoken at home(Required)

Proposed date of admission(Required)

Proposed class level(Required)

Is this an application for Mainstream or for Coiscéim (Special Class for Children with Autism)(Required)

Name of siblings (present or past pupils only)

First

A sibling (including step-siblings) must be resident in the same household.

Your child's GP name(Required)

Your child's GP contact number(Required)

Sacraments(Required)

In the case of Roman Catholic pupils, do you wish for your child to receive the sacraments of Reconciliation, Communion and Confirmation through the school?

Upload a copy of your child's baptism cert here if you wish to receive the sacraments through school.

Max. file size: 2 MB.

Name of Parent 1(Required)

First Last

Please note, for logistical reasons, 'Parent 1' is the primary contact. Parents who wish to be dealt with separately must contact the school and make such arrangements.

Nationality of Parent 1(Required)

Occupation of Parent 1(Required)

Phone Number of Parent 1(Required)

Email of Parent 1(Required)

Enter Email Confirm Email

Parent 1: a past pupil of this school?(Required)

Yes, a past pupil

No

Parents 1: pupil's legal guardian(Required)

Yes

No

Name of Parent 2(Required)

First Last

Please note, for logistical reasons, 'Parent 1' is the primary contact. Parents who wish to be dealt with separately must contact the school and make such arrangements.

Nationality of Parent 2(Required)

Occupation of Parent 2(Required)

Phone Number of Parent 2(Required)

Parent 2: a past pupil of this school?(Required)

Yes, a past pupil

No

Parents 2: pupil's legal guardian(Required)

Yes

No

Name of Emergency Contact 1

In the event of the parent not being contactable

Phone Number of Emergency Contact 1

Relationship to Pupil

Name of Emergency Contact 2

In the event of the parent not being contactable

Phone Number of Emergency Contact 2

Relationship to Pupil

Do you give permission for your child to go on school trips under teacher supervision? (nature walks, visit local sites, tours etc)(Required)

Yes

No

Do you give permission for your child to be photographed for school purposes such as classroom displays, the school website, school awards, newsletter, press / media etc?(Required)

Yes

No

Sometimes the school is requested to pass on names and addresses of children to the HSE for immunisation purposes, to other schools when pupils are transferring or to outside professionals during assessments – do you consent to this?(Required)

Yes

No

Do you wish for your contact number to be placed on your child’s class contact list for sharing with other parents in order to arrange playdates / birthday invitations and other parental communication? (Infant classes only)(Required)

Yes

No

Not applicable (non-infants applicants)

POD The Department has consulted with the Data Protection Commissioner in relation to the collection of individual pupil information for the Primary Online Database. Religion, ethnic and cultural background are considered sensitive personal data categories under data protection legislation. Therefore, it is necessary for each pupil’s parent / guardian to identify their child’s religion and ethnic background and to consent for this information to be transferred to the Department of Education and Skills. All other information held on POD was deemed by the Data Protection Commissioner as non-sensitive personal data.

Is one of the pupil's mother tongues (language spoken at home) Irish or English?(Required)

Yes

No

No Consent

To which ethnic background does the pupil belong (as per census categories)?*(Required)

What is the pupil's religion?(Required)

Do you consent for this information to be stored on the POD and transferred to the Department of Education and Skills and to any other primary school your child may attend during the course of their primary education?*(Required)

Yes

No

List the names of some children your child knows (JUNIOR INFANTS ONLY)(Required)

This list will be used to help organise new junior infant classes so that, in so far as is possible, your child will be in a class with at least one person they know. Classes may re-organised in later years for academic / social / behavioural reasons and to ensure balance across class levels. Requests to change classes cannot be accommodated.

Online Admission Form