Ardcroney National School ( Enrolment Form) Childs Name: Date of

Ardcroney National School ( Enrolment Form)
Childs Name:
________________________________
Date of Birth:
________________________________
Address:
_________________________________
_________________________________
_________________________________
Name of Parent(s)/Guardian:
(1) ______________________________
(2)_______________________________
Has the child attended playgroup/playschool/pre-school?
_________________________________
_________________________________
In the case of transferring from another school.
(a) School _________________________
(b)Address_________________________
In the case of emergency please give name, address and phone no. of the person to be contacted.
__________________________________
__________________________________
Has your child any health problems, that you feel the school should be aware of?
_________________________________
_________________________________
Signed:
Mr. Martin Ryan
Principal
Phone 067-38269/ 087-6497529
Email:[email protected]