Our Lady of the Wayside N.S. Bluebell
Enrolment application form

Before providing us with your information please read and complete below
I have received and read the GDPR Privacy Notice from Our Lady of the Wayside N.S. *
I give consent to Our Lady of the Wayside N.S. to process the data I am providing in accordance with general data protection regulation *
Application for (Please tick the class you would like to enrol your child in) *
Child's name (as on Birth Cert) *
Your answer
Address (where the child resides) *
Your answer
P.P.S. Number (child) *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Child's country of birth *
Your answer
Language spoken at home *
Your answer
Mother's name:
Your answer
Mother's phone number
Your answer
Mother's occupation
Your answer
Mother's email address
Your answer
Father's name
Your answer
Father's phone number
Your answer
Father's occupation
Your answer
Father's email address
Your answer
Guardian's name (if applicable)
Your answer
Guardian's phone number (if applicable)
Your answer
Emergency contact name (Please nominate someone to contact in case of emergency if parent/guardian is unavailable *
Your answer
Emergency contact phone number *
Your answer
Religion (If catholic please send a copy of baptismal cert) *
Your answer
I understand that Our Lady of the Wayside N.S. is a Catholic school. There is no compulsion for my child to take part in Religious Instruction in school. However, if I wish to withdraw my child I must be responsible for supervision during Religious activities as the school does not have the resources to provide extra supervision. *
Number of children in family *
Your answer
Child's place in family *
Your answer
Sibling in Our Lady of the Wayside *
Other schools or education settings attended (Early start, playschool or primary school) *
Your answer
Details of any illness or medical condition that the school should be aware of *
Your answer
Has your child had their eyes tested? *
Has your child had their hearing tested? *
Has your child ever been referred for assessment? *
If yes, please give details of assessment (If you have copies of any relevant professional reports, we would appreciate a copy for our records to help us meet your child's needs while in school)
Your answer
Any other condition/issues you would like to bring to our attention
Your answer
Please read and tick (if you would like copies of any policies or procedures, please contact the school *
Required
Signature of parent/guardian (typed answer will suffice) *
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Our Lady of the Wayside N.S.. Report Abuse