Accepting a place in our school

Welcome to our school!

This page is for parents and guardians of children who have received an offer of a school place in Citywest ETNS. If you do not wish to accept the school place, you do not need to complete this form; simply reply to the email offer of place to let us know that.

If you wish to accept the school place, please complete the form below. This information will be uploaded to the Pupil Online Database, which is operated by the Department of Education (DES). The information will also be uploaded to the school information management system in use by our school.

You also need to submit a copy of your child's birth certificate to the school office. Both of these actions must take place by the time and date given in the email.

Many thanks,
Caitriona Hand, Principal, and Romy Martin, Enrolment Officer.

Pupil Information

* Indicates required field

Child's Name *

First

Last

What does your child like to be known as? *

Child's gender: *

Male Female

Child's PPSN *

Child's Date of Birth (day/month/year) *

Nationality *

Child's ethnic or cultural background (optional) *

Religion (optional) *

Child's Home Address (including Eircode) *

What special interests does your child have? *

What special people might your child talk about? *

Is there a court order in place that affects this child? *

Yes No

Choose One: *

My child is coming from a pre-school, childcare or Early Start setting. My child has not attended pre-school, childcare or Early Start. My child is coming from another primary school or home school setting.

What is your child's mother tongue i.e. what language is primarily spoken in the home? *

If English is not primarily spoken in the home, does your child speak any English words? *

Yes No Not applicable

1st Parent/Guardian Name *

2nd Parent/Guardian Name *

Emergency contact - this is someone who has permission to collect your child from school and who we may contact if we cannot get in touch with you on any given day. *

First

Last

Emergency contact - this is someone who has permission to collect your child from school and who we may contact if we cannot get in touch with you on any given day. *

First

Last

Phone Number *

Relationship to Child *

Note: If any person other than those named above is collecting your child from school, please notify the school office in advance. All persons collecting children, with the exeption of parents/guardians, must carry photo ID. *

Your child's GP/doctor - Name: *

First

Last

Doctor's Phone Number *

Doctor's full address including Eircode *

Health Information : Does your child have any allergies? *

Yes No

Does your child have any illnesses? *

Yes No

Is your child on any medication? *

Yes No

Does your child use any device for assistance e.g. hearing aid? *

Yes No

Does your child have any developmental difficulties? *

Yes No

Does your child have any emotional, social or behavioural difficulties? *

Yes No

Does your child have any speech and language difficulties? *

Yes No

Is your child currently awaiting or undergoing any professional assessment? *

Yes No

Do you have any other concerns about your child's development? *

Yes No

If you ticked Yes to any question above, please provide more information here. *

Name of previous school or pre-school *

Phone Number of previous school or pre-school *

Length of time at this previous school or pre-school *

Address of previous school or pre-school *

I give permission for Citywest ETNS staff to contact this pre-school or school about my child. *

Yes No

All information given above is true and accurate. *

Yes

I will alert the school of any changes immediately. *

Yes

I agree to abide by all Citywest ETNS school policies and procedures and will support and encourage my child in doing the same. *

Yes

I understand that information about my child will be transferred to the Department of Education and Skills via the Pupil Online Database (POD) and any other primary schools my child may transfer to during the course of their time in the Irish education system. *

Yes

I accept that, in the event of an accident or injury at school, my child will be treated for minor injuries and an ambulance may be called if required. *

I consent for my child to undertake small trips within walking distance of the school. *

Yes No

Experiential learning is important in our school. Classes take trips to places of worship and other community venues such as parks, theatres and libraries as part of their learning. Sometimes, we travel by bus, sometimes by LUAS and sometimes on foot. I consent to my child going on such trips. *

Yes No

I give permission for my child to be photographed and/or videoed for a learning project e.g. for a project presentation by a classmate. *

Yes No

I give permission for my child to be photographed for the purpose of creating displays in the school building *

Yes No

I give permission for my child to be photographed for the purpose of publishing on the school website. *

Yes No

I give permission for my child to be photographed by others attending a school event e.g. at a school concert *

Yes No

I give permission for my child to be photographed for media purposes e.g. to accompany a news article about the school or class *

Yes No

I give permission for the school to set up a G Suite for Education account for my child. *

Yes No

I will not accept a school place in another school without first letting Citywest ETNS know. *

Yes

Is there anything else you would like us to know about your child? *

Submit

Thank you for your co-operation. All information will be treated with the utmost discretion. We suggest that you make and keep a copy of this information for your own records.