MID-STREAM DAY PLACE 2021 Registration Form for Admission to The King's Hospital School.
Please fill in this form if you wish to apply for enrolment for your child in a year other than Form 1 as a day student. This enrolment form must be accompanied by the following:
-a copy of your child's birth certificate
-fee of €75 (non-refundable)
-certificate of religious affiliation, if applicable (template on website)

This form will be processed in line with the School's Admissions Policy and Admissions Notice.

Cash is no longer accepted. We only accept cheques or EFT. Cheques must be made out to The King's Hospital with child's name and PPS# on back or EFT reference to: IBAN: IE06BOFI90001716306952 - BIC BOFIIE2D.

There is no automatic right of changing from day to boarding at the time of acceptance or subsequently.
Email address *
Child's First name as it appears on their Birth Certificate *
Child's Last Name as it appears on their Birth Certificate *
Name child would prefer to be called in school (if applicable). However formal name to appear on Department correspondence.
Gender *
Child's Date of Birth *
MM
/
DD
/
YYYY
Child's religious denomination *
Child's PPS # *
Postal Address of Child's Main Residence *
What form are you applying for?
Clear selection
What form is your child currently in?
Clear selection
Child's Current School Name, Location & Roll # *
Parent/Guardian #1 First Name *
Parent/Guardian #1 Surname *
Parent/Guardian #1 Preferred Title *
Parent/Guardian #1 Postal Address if different to child
Parent/Guardian #1 Mobile Phone Number *
Parent/Guardian #1 Primary Email Address (should be personal not work) *
Parent/Guardian #2 First Name *
Parent/Guardian #2 Surname *
Parent/Guardian #2 Preferred Title *
Parent/Guardian #2 Postal address if different to child.
Parent/Guardian #2 Mobile Phone Number
Parent/Guardian #2 Primary Email Address (should be personal not work)
Maiden name of parent if married.
Siblings Currently or Previously At KH? *
If yes give names of siblings and current forms or years left.
Which selection criteria does your child fall under? For data purposes please mark all that apply but places are allocated in descending order of highest selection criteria first. *
Yes
No
Both parents practicing members of the Church of Ireland
Both parents practicing members of a Protestant or Reformed Tradition of Christianity (does not include Roman Catholic)
One parent practicing member of the Church of Ireland
One parent practicing member of a Protestant or Reformed Tradition of Christianity (does not include Roman Catholic)
Parent currently employed by the school
Sibling of present student, or past student who has completed a full cycle of education in the school
Parent or grandparent is a past student (must not exceed 25% of places offered)
None of the selection criteria apply to my child
Have you checked that you or your partner are practicing members of the religious criteria listed? If yes download the template at https://www.kingshospital.ie/application-process, to have signed by your current Chaplain with the church stamp, or the Chaplain can email us directly at khadmissions@thekingshospital.ie. A list of recognised churches can be found at https://secgrant.ie/list-of-approved-churches/ *
Include names & date of birth of any children who may be future applicants so you can receive an alert for their application window.
I consent to The King's Hospital School contacting me by phone, email or post regarding this enrolment form for admission to the school, and keeping these details on file until the period of enrolment has passed. See our website for our data protection policy. *
By checking this box you are stating that all the information provided on this form is accurate at the time of submission, in lieu of a signature. *
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