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39 views4 pages

Acceptance Form New

Uploaded by

souzaludmilla
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Coill Dubh N.S. S.N.

Coill Dubh
Coill Dubh Coill Dubh
Naas Nás na Ríogh
Co. Kildare Co. Chill Dara
Phone: (045) 860023 Guthán: (045) 860023
email [email protected] Email [email protected]
www.coilldubhns.ie www.coilldubhns.ie

Acceptance Form

Please complete all sections of this form and return it to the school. Failure to do so
may result in the withdrawal of the offer of admission.

We wish to accept a place for our child for the 2023/2024 academic year.

Signed: ___________________ Date: _________________

The Department of Education and Skills has developed an electronic database of primary school pupils
called the Primary Online Database (POD) which involves schools maintaining and returning data on pupils
to the Dept at individual pupil level on a live system. This information will be used to evaluate progress
and outcomes of pupils at primary level, to validate school enrolment returns for grant payment and
teacher allocation purposes, to follow up on pupils who do not make the transfer from primary to post
primary level and for statistical reporting. The data required for POD is marked with an asterisk* and will
only be uploaded to POD if your child is enrolled. All other data we need for the efficient running of the
school. In order to assist with the gathering of data please complete the form in CAPITAL LETTERS and
return to the school. This form will be retained by the school.

Name:
Address:

*Eircode:
*Date of Birth:
*PPSN:
Mothers Name:
*Mother’s Maiden Name:
Fathers Name:

Contact phone numbers


Home Number:
Father Mobile Number:
Father Work Number:
Mother Mobile Number:
Mother Work Number:
E-Mail:
Using an “X” please nominate one of the mobile numbers above for web texts and emergency
notifications.
Name and address of persons to be contacted if you cannot be
reached at the above numbers:
Name: Name:
Address: Address:

Relationship: Relationship:
Number: Number:

Doctors Details
Family Doctor:
Address:
Phone Number;
Medical History (asthma, food allergies etc.):
Any relevant reports/assessments

Details of Child’s Custody


Do both parents have custody of the child: Yes: No:
If the answer to the above is no please inform the school authorities of the legal position.

Statistical Information for POD


*Child’s Nationality:
*Child’s Religion:
*Language spoken at home:

Admission
Proposed date of admission:
Previous school if any:
Names of brothers, sisters attending school:
*Preschool attended if any:

All school policies can be accessed on our website www.coilldubhns.ie


Please tick Yes/No to the following: Yes No
Our/my child is allowed to take part in the “Stay Safe” programme
Our/my child is allowed to go on all school tours & outings
Our/my child can be taken to hospital in case of emergency if we/I cannot be contacted
Our/my child is allowed to take part in school teams
Inclusion of our/my child’s photographs on our school website
Inclusion of our/my child’s photographs in a local/national newspaper
Our/my child’s uniform being changed by an adult member of staff in the presence of
another adult in case of illness or toilet accident
We have read and agree to support and abide with the schools Code of Discipline
We have read and agree to adhere to the Schools Internet Acceptable Use policy.
Baptismal Certificate
If your child has been baptised outside the parish of Staplestown/Cooleragh please enclose a copy of
his/her baptismal certificate. (This is only necessary if you would like to partake in sacramental
preparation)

Signed: _________________________ Date: ______________________

The school will use the address on this form to mail information to parents such as report cards,
ballot papers and for elections to Parents Association and Board of Management etc.

Online Payments
Dear Parent / Guardian

All communications from the school will be via the new “Eolas App”.
This product that has been developed to complement the existing Databiz NS Admin
software.

It allows parents of school children to …


 Receive notifications from the school
 Update their own e mail address and mobile phone numbers
 View attendance details and inform the school of reasons for absences.
 Make payments
 Book parent-teacher meetings
 View standardised test scores
 View end of year reports

We have added 2 pdf files to the download section of the school website to help with
the downloading and use of the app.

IF you have any problems you can contact [email protected] or 086-7345627

Kind Regards,
Éamonn Mac Lochlainn
Web Developer
DataBiz Solutions

M: +353 (0)86 7345627


E: [email protected]
W: http://www.databizsolutions.ie

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