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]
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