Registration Form 2024

Step 1 of 7

Your Child's Details

Your Child's Name(Required)

First Last

Your Child's Date of Birth(Required)

Your Child's PPS Number(Required)

Your Child's Address

Street Address Address Line 2 City County Eircode Country

Your Child's Country of Birth(Required)

Your Child's Nationality(Required)

Your Child's First Language (e.g. English, Irish, Polish)(Required)

Mother's Maiden Name(Required)

Surname before marriage

Child's Birth Certificate(Required)

Max. file size: 32 MB.

Child's Baptismal Certificate (Optional)

Max. file size: 32 MB.

Proof of Address(Required)

Max. file size: 32 MB.

Please upload a bill or other official document as proof of address.

Number of the family's children already attending the school(Required)

Place of the child in the family (e.g. eldest = 1)(Required)

Parent / Guardian Details

Name(Required)

First Last

Is your address

Same

Different

Address

Street Address Address Line 2 City County / State / Region Eircode Country

Phone(Required)

Email(Required)

Enter Email Confirm Email

Parent / Guardian 2

Name

First Last

Is your address

Same

Different

Address

Street Address Address Line 2 City County / State / Region Eircode Country

Phone

Data Consent

Kealkill National School is a data controller under the Data Protection Acts, 1988 and 2003 and GDPR 2018. The reasons for the school collecting data are set out in the school’s Data Protection Policy and in the school’s Privacy Statement available from the school or on www.kealkillns.ie

Permission for the school to contact you about your child, school events or notices

Please confirm that you are happy for us to contact you about your child or school events and notices by text message and telephone calls and to send you emails via the contact details you have given the school on your child’s enrolment form or updated at a later date. Do you give permission for the school to:

Use your email address to contact you

Use your mobile phone number to send you SMS texts

Use your mobile phone/landline number to call you

Contact in case of emergency(Required)

I/we understand that Kealkill National School reserves the right to contact me/us in case of an emergency relating to our child, regardless of whether or not we have given consent.

First Choice

Photographs of students(Required)

I/we understand that Kealkill National School reserves the right to contact me/us in case of an emergency relating to our child, regardless of whether or not we have given consent.

I am/we are happy to have our child’s photograph taken as part of school activities and included in all such records including school displays, booklets, newspaper, website and social media

I/we would prefer not to have our child’s photograph taken

I am /we are happy for our child’s photograph to be taken and for it to only appear in displays within the school

Declaration(Required)

Yes

I/We being the Parent(s)/Guardian(s) of the applicant do hereby confirm that the above information is true and accurate and I/we consent to its use as described.

Signature

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