Application for Enrolment in

 

Sacred Heart N.S.,

Newbawn,
Co.Wexford.

 

 

Name of child:
Address:
Date of Birth:
Name of Parent(s) \ Guardian(s)
Address of Parent(s) \ Guardian(s)
Telephone Number		Daytime Number:				Emergency Number:
Name and address of
previous Primary School
(if applicable)
Reason for transferring
(if applicable)
Religion:
Church where baptised
(if applicable)
Name of Doctor:
Address:
Tel No:

 

 

Please be advised that the “Denominational Character” of Sacred Heart NS (SHNS) is Roman Catholic, and due to constraints of time, space and personnel, other beliefs may not always be catered for.

 

If your child suffers from any disability or long term illness which you feel the school should be aware of please specify below.

_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

 

 

Please indicate below if your child has been assessed in any of the following areas. If so, please furnish the school with a copy of same, at your earliest convenience.

 

 

	Please tick
Educational Assessment
Psychological Assessment
Psychiatric Assessment

 

In the event of a serious illness \ accident to my child (if I cannot be contacted) I give permission for him \ her to be brought to his \ her doctor.

 

 

Signed ___________________________     Date ________________________

 

 

 

Please be assured that all information on this form is private and confidential.

 

 

 The BOM Sacred Heart NS will inform you in writing within 21 days of their decision concerning this application for enrolment.