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Admissions Form

Thank you for expressing an interest in enrolling your child in our school. Please enter your child's details in the form below and then click "Send details to the school".

When completing this form, please enter the following information in the "Note" box of the "Child" section of this form

• the name(s) of sibling(s) in this school, if any

• If your child has ever been referred to an agency providing support services (e.g. psychological/psychiatric services/child guidance clinic/HSE/speech therapist/occupational therapist/eye specialist/ear specialist, etc.) or been referred for an Assessment of Need

• If there is other information which you as parent(s)/guardian(s) feel would be helpful for the school to note, e.g. issues relating to special needs, toilet training, behavioural difficulties, emotional difficulties etc

Please see our Admissions Policy on our website www.stanhopestreetprimary.ie for further information regarding enrolment.

Thank you again for choosing Stanhope Street Primary school. We look forward to working with you in the future.

Child

First name:* Last name:* Gender:* PPS Number:* Date of birth:* Note: Languages spoken at home: * Class being Sought: * Medical & allergy information: * Nationality: * Date your child arrived in Ireland (If not born here): Religion: * Name of Preschool or Primary school attended: *

Has a sibling already in the school.

Yes No

Choose an Admission List

Family

Address:* Eircode:* Alternate address: Alternate address description:

Guardian 1 / Mother

First name:* Last name:* Email:* Mobile number:*

Guardian 2 / Father

First name:* Last name:* Email:* Mobile number:*

Emergency Contacts (other than parents)

Name: Description: Mobile number: Home number: Work number:

I have read and agree to the school enrolment policy

Attach files:

	Attached File	Explanatory note for parents
		Please attach a copy of your child birth certificate.
		Please attach a recent utility bill (gas or Electricity ) or bank statement with name and address visible on page as proof of address.
		Please attach a copy of your child's supporting documents if applicable e.g a school report from your child's previous school, Psychological Assessment, OT report or Speech and Language report.

Important

You will receive a reference number on successful submission of your application.
If you have input all of the required information above and you do not receive a reference number after submitting this form something may have gone wrong with your application and you should retry using a different browser.