Ballycoog NS Enrolment Form
This is an application for enrolment to Ballycoog National School, Avoca, Arklow, Co. Wicklow
Queries may be directed to ballycoogns@gmail.com   
Sign in to Google to save your progress. Learn more
Email *
Please complete the Enrolment Form below to apply for a place for your child.  The school's Admission Policy is available on www.ballycoogns.ie
Child's Name (on birth certificate) *
Name child is known as (if different)
Child's Date of Birth *
MM
/
DD
/
YYYY
Child's PPS number *
Home Address *
Enrolment for School Year *
Class level that child will join *
Child's Nationality
Religious Denomination (if any)
Parents' Name(s)
Parents' Contact Telephone Number(s)
Parents Email Address(es)
Legal Guardianship - is there a judgement under Family Law that the school should be made aware of?
Emergency Contact Person 1 (Please provide their name, telephone number and relationship to child) *
Emergency Contact Person 2 (Please provide their name, telephone number and relationship to child)
Preschool your child attended (if applicable)
Names of those who have permission to collect your child from school
Medical Information: does your child have a medical condition or take medication that the school should be made aware of?  Please provide details.
Who is your child's GP and please provide their telephone number below in the case of an emergency.
Does your child have any additional or special education/health needs?  Please provide a copy of any relevant reports to the school in strictest confidence.
Has your child ever received an Irish excemption? *
Required
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy