Child's First Name
Child's Surname
Child's Birth-Cert name if different to above
Gender MaleFemale
Address
Address Line 2
Town
County
Your Eircode
Date of birth
Nationality
Religion
Child's PPS number
Parent's Names
Parents Email Address
Mother's Maiden Name
Occupations
Language Spoken At Home
Your Child's Ethnic or Cultural Family Background
Place Of Child In Family
Name Of Previous School Attended
Name Of Friend Starting School
Details Of Any Illness That May Affect His or Her School Life
Any Matter That May Affect Your Child's Education
Who Will Take Your Child To And From School
Mobile Phone Number
Emergency Contact Name & Number When Parents Cannot Be Reached
Family Doctor:
In The Event Of A Serious Accident Or Illness And You Cannot Be Contacted, Do You Give Permission To Have Your Child Taken To The Doctor Or Hospital
Will You Support The School Ethos, Code Of Discipline, Behaviour And Other Policies
Do You Consent For This Information To Be Stored On The Primary Online Database
PLEASE NOTE THAT YOUR CHILD'S BIRTH CERTIFICATE AND PPSN NUMBER IS NEEDED TO COMPLETE THE ENROLMENT PROCESS. PLEASE BRING THESE ITEMS WITH YOU AT ENROLMENT.
Upload Copy Of Birth Cert Here
PARENTAL PERMISSION FORM
Each year we ask your permission for you child to participate in certain activities. In order to cutdown on unnecessary paperwork and simplify record-keeping, we have decided to include as many permissions as possible on one sheet. Please read carefully each of the items below and tick the relevant box. If you have any concerns regarding any of the items below please feel free to contact the class teacher or principal.
I HEREBY GIVE PERMISSION FOR MY CHILD IN RELATION TO THE FOLLOWING:
Go on school tours, local educational visits, field trips, and participate in school activities e.g. matches, tennis, swimming, zumba etc. YesNo
On occasion such as school events, local press photographers take group photos of children and in some instances identify the children by name. Do you agree to the school using your child’s image in this way? YesNo
Have you read our Acceptable Internet Use Policy and do you grant permission for your child to access the Internet? Do you understand that Internet access is intended for educational purposes and every reasonable precaution has been taken by the school to provide for online safety but the school cannot be held responsible if pupils access unsuitable websites? YesNo
Can we use your child’s name and or photo in relation to publicising school events and activities in our newsletter, website and similar publications? YesNo
Images of your child and his or her work may appear on our website. Images may be of individuals or groups. Only your child’s first name will be used if at all. Do you agree to the school using your child’s image and first name in this way? YesNo
The school teaches ‘Stay Safe’ lessons on personal safety & protection and RSE (relationships & sexual education) lessons on developing and changing. Both are recommended and vetted by the Department of Education and Skills. Lessons are developed using suitable content and appropriate language for each class. Can your child participate in these lessons? YesNo
The school sometimes uses the ‘SEESAW online journal to document what is learnt in class which can be shared PRIVATELY with parents and family members. Do you give permission for your child to use SEESAW? YesNo
Do you give permission for your child to be taken immediately to a doctor or hospital in case of serious illness or accident? In a non emergency it is the school’s policy is to inform parents or guardians if their child has had an accident in school which may require them to collect their child and take him or her home or to hospital or doctor. In an emergency it may be necessary to take the child to hospital or doctor and inform parents or guardians afterwards. YesNo
Do you give permission for Hearing & Vision tests to be carried out by the school nurse? YesNo
Please Enter Your Name Here As Your Signature Date
EMAIL: info@conventjuniorschool.ie TELEPHONE: 042-9740517 ROLL NUMBER: 16319W
