Bileog Eolas
2024/25
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Ainm an Phaiste (Child's Name) *
Dáta Breithe (Date of Birth)
*
MM
/
DD
/
YYYY
Deartháireacha/ Deirfiúracha eile sa scoil & an rang ina bhfuil siad: (brothers / sisters attending the school and their class)  *
Ainmneacha Tuismitheoir(í) / Caomhnóir(í)
(Parents / Guardians Names) 
*
Seoladh
(Address) 
*
Eircode *
Uimhir PSP (PPS Number)
*
Ríomhphost (email) 1
*
Ríomhphost (email) 2 *
Uimhreacha & ainm Teagmhála 1 
(Telephone & Name Number 1) 
*
Uimhreacha & ainmTeagmhála 2
(Telephone & Name Number 2) 
*
Ainm & Uimhir Fheighlí Linbh
(Childminder name and telephone number)
Eircode Fheighlí
(Eircode of Childminder) 
Comharsa / Duine eile : (i gcás easlonú scoile agus nach mbíonn teacht ar na daoine thuas  Ainm & Uimhir Ghuthain)
(Neighbour / Other contact in case of emergency closure and unavailability of persons named above, name and phone number)
*
Ainm agus uimhir fóin Dochtúir Clainne
(Name and telephone number of family doctor)
*
Ainm agus uimhir fóin an Fiaclóir Clainne
(Name and telephone number of family dentist)
*
Aon Ailéirgí atá ag an bPáiste
(any allergies)
*
Aon Eolas Tábhachtach Eile, sláinte, cúinsí clainne srl.,  (any other important information regarding health, family circumstances etc.)
Ar baistíodh do pháiste? Has your child been baptised? Tabhair coip den teastas baiste don oifig le d'thoil. (Please supply a copy of the Baptismal Certificate to the office) 
*
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