Our Lady of the Wayside N.S. Bluebell
Enrolment application form - September 2021

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. (available on the policies page of our website) *
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) *
Address (where the child resides) *
P.P.S. Number (child) *
Date of Birth *
MM
/
DD
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YYYY
Child's country of birth *
Language spoken at home *
Mother's name:
Mother's phone number
Mother's email address
Father's name
Father's phone number
Father's email address
Guardian's name (if applicable)
Guardian's phone number (if applicable)
Emergency contact name (Please nominate someone to contact in case of emergency if parent/guardian is unavailable *
Emergency contact phone number *
Religion (If catholic please send a copy of baptismal cert) *
Number of children in family *
Child's place in family *
Sibling in Our Lady of the Wayside *
Other schools or education settings attended (Early start, playschool or primary school) *
Details of any illness or medical condition that the school should be aware of *
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)
Any other condition/issues you would like to bring to our attention
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) *
Submit
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