Scoil Pól, Kilfinane, Co. Limerick
www.scoilpol.ie
Tel: 063 91197
email: [email protected]
Cúrsa de Paor 2017
July 3rd – 14th July – 9.30am – 2.30pm
(At Scoil Pól, Kilfinane, Co. Limerick)
Application form:
Student Name: ________________________________________________________
Address: ____________________________________________________
_______________________________________________________
_______________________________________________________
Name of Parent/Guardian:
_______________________________________________________
Mobile phone number: ________________________________________________________
Email: _______________________________________________________________
Student age: __________
Gender: male
Female
Rang (class) your son/daughter going in to in September:
3rd
4th
5th
6th
1st yr
2nd yr
Primary/Secondary school: ____________________________________________________________
Contact person in case of emergency (if parent/guardian unavailable):
Name: ______________________________________________________
Mobile Number: ______________________________________________
Name of G.P. :________________________________________________
Contact number: _____________________________________________
Principal: Mr. Michael O’ Hara
Deputy Principal: Mrs Bridget Ryan
Medical information:
Is your child currently on medication/suffer from allergies? Yes
No
If yes, please give details: ____________________________________________________________
__________________________________________________________________________________
Is your child allowed participate in sporting activities? Yes
No
If NO, please indicate what activities are not suitable for your child:
__________________________________________________________________________________
Does your child play a musical instrument? Yes
No
If Yes, please give details:_____________________________________________________________
Please sign below giving permission for ‘Cursa de Paor’ to use your child’s
image in course associated pictures and videos
Parent/Guardian: _______________________________ Date: __________
All applicants will be vetted through their primary and secondary schools to
establish their level of Irish and their behavioural record.
Students with an unacceptable behavioural record will be refused entry to
the course
Summary of Fees;
€160 – 1st child
€120 – 2nd child
Deposit: €80 per child
Deposit of €80 with each application.
Closing date for applications – May 26th 2017
Parent/Guardian signature:
I, ______________________________ wish to enrol my son/daughter ______________________for
‘Cursa de Paor’ 2017 and accept all terms and conditions as outlined
Date: ____________________________________
Student signature: ______________________________________________________
Deposit enclosed of €80
€160
(please tick)
Rules:
Principal: Mr. Michael O’ Hara
Deputy Principal: Mrs Bridget Ryan
It is expected that all students will endeavour to speak and communicate through Irish at
all times
• Students are not permitted to leave their teacher’s supervision at any time without permission.
• Students may not breach any of our safety regulations while participating in classes and course
activities.
• Mobile phones may not be used from 9.30am to 2.30pm every day.
• Students may not bring MP3 players or Ipods, etc.
• Breach of other rules such as non co-operation, bullying, or bad behaviour will be dealt with by
Management who will not hesitate to contact parents/guardians and may result in expulsion if
necessary.
Management reserves the right to dismiss a student whose conduct is unsatisfactory or
who refuses to comply fully with ‘Cúrsa de Paor’ rules
Parents must not drop off students at Scoil Pól before 9.20am every morning
and all students must be collected at 2.30pm sharp.
Principal: Mr. Michael O’ Hara
Deputy Principal: Mrs Bridget Ryan