Enrol today

Applicant details

Starting year:

Enrolment Class:

Position in our Autism Class?:

First name:

Surname:

Given name (if different from above):

Home address:

Second address:

Town:

County:

EirCode:

DOB:

P.P.S No:

Gender:

Present School Information

Present school:

Present class:

School address:

Phone:

School principal:

School roll No. (obtained from school):

Details of Parents / Guardians

Mother's (guardian) first name:

Mother's surname:

Mobile No:

Work No:

Father's (guardian) first name:

Father's surname:

Mobile No:

Work No:

* Please specify the mobile number & email address you wish to receive text messages and emails from school (note it must be parent/guardian’s number or email).

Contact Mobile No:

Contact Email:

Any sibling in this school?

Name of sibling(s) in school

Confirmation of application

By filling in this application we wish to confirm our intention to enrol our student. We further agree to accept the Admissions Policy and the Code of Behaviour

Send

Application for Enrolment