St. Vincent's Primary School Glasnevin Dublin 11

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Enrolment Form

Enrolment Form

APPLICATION/ENROLMENT FORM
ST. VINCENT’S PRIMARY SCHOOL, Glasnevin, Dublin 11.
Telephone/Fax: 01-8302328
E mail: office@vincentsprimary.com

Please note that completion of this application form however early does not confer an automatic right to a place in the school. Closing Date for Applications for Junior Infants is January 31st of the year of entry.

St. Vincent’s is a boys’ only school. Applications can be made online at www.vincentsprimary.com


CLASS APPLIED FOR:  _________________ YEAR TO START___________

E Mail Address for Contact: ____________________________________________________________

Pupil’s Name: _______________________________________________________________________

Address: ___________________________________________________________________________

___________________________________________________________________________________

Home Phone No:   ___________________________ Mam Mobile No: __________________________
                                              
Dad Mobile No:   ___________________________  Other
Emergency Nos:   _____________________
                                       
Date of Birth:  _______________________     Pupil’s P.P.S. Number: ___________________________

Religion:   _____________________________     Nationality: _________________________________

Father’s Name: ____________________________ Mother’s Name: _____________________________

Occupation:  _____________________________      Occupation:  _____________________________

Mother’s Maiden Name:   _____________________________

Brothers in St. Vincent’s Primary: ________________________________________________________
    
Physical Disabilities/Other Problems: _____________________________________________________

Has your child been assessed or referred for Assessment? __________________________

If Yes please enclose copies of Assessment.
School he is attending at present: __________________________________________________________

Class in that School: _____________________________________________________________________

Is your child attending Tigers Pre School which is situated in our school building      Yes             No


Signed:   _________________________________   Date: ___________________________
                   Parent/Guardian

If you do not have a PPS number for your child it can be obtained from –
Client Identity Services:  Department of Social and Family Affairs   01-7043400.  


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