Crecora National School Registration Form (Page 2 of 2) in pdf

Does your child have any special educational

needs?

Have you attached a birth cert?

Have you attached a baptismal cert?

Do you give permission for your child to take part in RSE and Stay Safe programmes?

We consent to the following: Y (yes) or N (no)

Our child being taken to hospital in case of emergency________

Inclusion of our child’s class photos on school website________

Our child’s uniform being changed in the presence of another adult in case of illness or toilet

accident______

Inclusion in Liturgical celebrations in keeping with our Catholic ethos, such as Mass, Prayer

Service etc.________

Is your child attending any outside agencies? E.g. speech therapist, occupational therapist, psychiatric

services or others.

Please give details ;

Medical Card Number

S.W. Entitlement

Any other useful information

For instance, list any problems your child may have in relation to health, (allergies, epilepsy, asthma,

sight, hearing, speech, fainting etc) toilet training, inability to cope with buttons, laces etc.

If you think you are eligible under the Free Book Scheme, please indicate if you have a medical card or

other SW entitlement.

The school should be made aware of any court order, which affect’s the child’s welfare and also the

name of any person who into whose custody the child should not be given.

_______________________________________________________________________________

We have received a copy of Crecora National School Code of Discipline, Enrolment Policy, Healthy

Lunch Policy, Homework Policy and General Information Booklet. We are aware that all policies are

available for viewing in the school by appointment We will co-operate with the staff and support the

ethos of the school. We will support all school policies.

Parent’s/Guardian’s Signature_____________________________ Date____________

Please note that all information will be regarded as private and confidential.

Crecora National School Registration Form Page 2