Pre-Enrolment Form September 2009

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Adamstown Castle Educate Together
Pre-enrolment Form
Please return form to: Adamstown Castle ETNS, Station Rd., Adamstown, Co. Dublin

Forms should be returned by post only; please include a stamped addressed envelope

INFORMATION ON CHILD TO BE PRE-ENROLLED
Childs First Name:
Childs Last Name/Surname:
Date of Birth:

School Year for which child is being pre-enrolled – please circle 2009 2010 2011 2012 2013

Class for which child is being pre-enrolled, please circle:
Junior Infants Senior Infants First Class Second Class Third Class Fourth Class Fifth Class Sixth Class
* Children have to be 4 by September 1st, for entry to Junior Infant Class

PARENT/GUARDIAN INFORMATION
First Name(s): Last Name/ Surname:
Contact Address:

Phone Numbers:
E-mail :
(The information provided may be used for the planning of educational provision in this area)
I understand that the receipt of a pre-enrolment form does not guarantee that the child will be offered a place.
I understand that it is my responsibility to inform Adamstown Castle ETNS of any change of address, telephone number, or other relevant circumstances.
I understand that if I have not replied to a confirmed offer of a place for my child within 14 days of that offer being made, I will have forfeited my Child's place on the pre-enrolment list.
A copy of the full pre-enrolment rules may be obtained from Educate Together or online www.educatetogether.ie
Parents Signature:
____________________________________________________________


Name in Print:
Please tick here if you do not want to receive further information ¨