Star of the Sea B

STAR OF THE SEA B.N.S., Leahy’s Terrace, Sandymount, Dublin 4

Email: [email protected] Principal: Kevin Munnelly Phone: (01) 6686394

ENROLMENT APPLICATION FORM FOR SEPTEMBER 2018 Application forms must be received by the School before January 12th 2018

Child’s Name (as on Birth Certificate) ………………………………………………PPSN…………………......

Date of Birth………………………… Nationality of child …………………………Religion…………………………..…… While Star of the Sea is a school with a Catholic ethos, it also has due recognition for all other religions

Date of child’s arrival in Ireland (if applicable)…………………………Email address…………………………………….. Please print Language spoken at home (e.g. Irish/English) ......

Home Address …………………………………………………………………………………………………………………..

School previously attended (if applicable)…………………………………Previous Class…………………………………

Father’s Name …………………………… Nationality…………………………… Phone No…………………………

Mother’s Name …………………………… Nationality…………………………… Phone No…………………………

Child’s Position in family…………………………. Names of Brother/s…………………………………………

MEDICAL HISTORY Vaccinations & Immunisations …………………………………………………………………………………………

Fears & Anxieties ………………………………… Allergies …………………………………………………

At times it will be necessary to forward your son’s details to the HSE for purposes of inoculation, hearing tests, dentist etc., To consent please sign here ………..…………………………………………….

Any other relevant information e.g. Medical reports/ Speech & Language reports/ Educational Assessments/ Specialists reports etc.,

If yes, please give details………………………………………………………………………………………………

……………………………………………………………………………………………………………………………

Custody Issues: In the case of a custody dispute who has legal rights to collect your child from school?

………………………………………………………………………………………………………………………… ***INCOMPLETE APPLICATIONS WILL NOT RECEIVE A LETTER OF ACKNOWLEDGEMENT FROM THE SCHOOL AND CANNOT BE PROCESSED***

Our Enrolment Policy is on our website – www.starofthesea.ie. A copy of this is also available from the Secretary’s office on request. Please read the following carefully and then tick the boxes as appropriate.

I have read and understood the school Enrolment Policy.

I include with this application a copy of my child’s; Birth Certificate

Baptismal Certificate (if Catholic)

I understand that it is my responsibility to ensure that the school receives a completed application form with all requested Certificates before the closing date for applications, and that in the event of a dispute, only a letter of acknowledgement from the school will be accepted as proof of having applied.

Parent’s/ Guardian’s signature…………………………………………………..Date………………………………