Enrolment form

St.Patrick’s N.S., Curtlestown, Enniskerry, Co. Wicklow Ph/Fax: 01-2861649 E-mail: curtlestownns@gmail.com


Child’s First Name(s):  


Irish Version of Surname:

 Child’s PPS No:                                              

Father/Guardian’s name;


Contact no
Mother/Guardian’s name;

Contact no.

Do you wish to be contacted by e-mail?                 

Father;  Yes     No                         

email address:                                                    

Mother; Yes          No

email address:

Name and phone no of alternative person who can be contacted in the event of both parents/guardians being uncontactable:

Date of Birth:   


Date of Baptism:Place of Baptism:(If Baptism didn’t take place in Enniskerry Parish please submit a Baptismal Certificate at your convenience)

If the child has attended school/pre-school before:

Name and address of previous school:


Does the child have siblings attending this school/enrolled in this school/past pupils of the school:(Please print name of each child and the class they are currently in)

Proposed year of entry:

Will your child require school transport?

Helpful Information: (e.g. personality, subject strengths/weaknesses, learning difficulties etc.)

Relevant medical information: (e.g. sight, hearing, allergies etc)

Signed:                                                                     Date:

Note:  This information is for school records only and will be treated in the strictest of confidence. For the child’s welfare and safety it is essential that the Principal is notified in writing of any special circumstances or change in regard to the home situation.  Confidentiality is assured.