Ballinakill N.S

                        Ballinakill N.S Enrolment Form  

Name of child:
Date of birth:
Names of Parents/Guardians:
Home address;

Home telephone number:
Other contact numbers;

Religious denomination:
Date and place of Baptism:
Any previous school attended:
Name of family doctor:

Irish version of child’s name:
(otherwise school will translate)

Any other relevant information:

__________________________________________________

We will co-operate with the staff of the school and support the ethos and rules of Ballinakill N.S

Signed:____________________ (Parent/Guardian)