Blessington Educate Together

If you wish to register your child at our school please fill in the form below and return by email or post. Link to Enrolment Policy for your information.

Pre-enrolment Form

Enrolment

Red Lane Blessington, Co. Wicklow

Tel: 045-865281 or 087 9497601

Email: admin@educatetogether-blessington.ie

 

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BLESSINGTON EDUCATE TOGETHER NATIONAL SCHOOL

PRE-ENROLMENT FORM

Information on Child to be pre-enrolled:

 

Child�s First Name:____________________________ Childs Surname______________________________

 

Date of Birth: ___________________________ Male Female

 

In which class do you require a place:______________________ Is your child currently in school: YES NO

 

If your child has attended school, name of current school__________________________Class______________

 

Year to Start Child at this school: __________ Language(s) spoken in the home __________________________

 

Does your child have any Special Needs: YES NO ___________________________________________

Does your child have any medical conditions: YES NO ______________________________________

Parent/Guardian Information:

Name(s): ____________________________________________________________________

 

Address(es): ____________________________________________________________________

 

Phone Nos: Home:______________ Mobile:______________________ Work:________________

 

Email address: ____________________________________________________________________

I understand the following:-

that allocation of places in Blessington E.T.N.S. will be strictly on application date order.

that I must post this completed form to the Pre-enrolment officer.

that receipt of a pre-enrolment form does NOT guarantee that a place will be offered.

I understand that it is my responsibility to inform the school of any changes in address, telephone number or other circumstances.

 

PLEASE ENCLOSE A STAMPED ADDRESSED ENVELOPE FOR ISSUE OF RECEIPT

 

Signed: ___________________ _____________Guardian/Parent Date:_______________

 

 

 

FOR BETNS USE ONLY:

Date of receipt of form: _________________________ Pre-enrolment number: ______________

 

Year in which child will start: ___________________ Class: __________________________

 

Signature: _______________________________

 

Return this form to : Blessington Educate Together National School, Red Lane, Blessington, Co. Wicklow. Phone 045-865281 / 087 9497601

 

* �Educate Together� national association is the patron of Blessington Educate Together National School (More details www.educatetogether.ie)

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