Register your child Register you child Child detailsName of child as on Birth Certificate: PPS number: Date of Birth: Class applying for: Address: Phone Number: Mobile Phone number: Nationality: Country of Birth: If other than Ireland please state date of arrival in Ireland: Religion: If applicable, please send in a Baptismal CertificateDoes your child have siblings in St Joseph's? If so, please write down name , date of birth and class of the siblingLanguages spoken at home: Has your child attended school or playschool previously? YesNoIf, yes please state the name of the school: I will send in a copy of : Please send a copy of the certificate to : St. Joseph’s N.S. Skibbereen, Co. CorkBaptismal CertificateBirth CertificateNone Parent Details Mother FatherMaiden Name Name Address Address Email Email Contact number Contact number Emergency contact number Emergency contact number Occupation Occupation Nationality Nationality Consent I/We consent for this information to be stored on the Primary Online Database (POD) and transferred to the Department of Education & Skills and to other primary schools my child may transfer to during the course of their time in primary school.YesNo Other Personal InformationHas your child any medical condition/known allergies that the school should be aware of? YesNoIf yes, please specify Has your child attended a Speech therapist? YesNoHas your child attended an Occupational therapist? YesNoHas your child attended an Educational psychologist? YesNo**If yes, please send in reports PhotographyDuring the course of her time at St Joseph’s NS, photographs of your child may be taken for publication in local and national media as well as on the St Joseph’s website. Do you give permission for her Christian name and picture, in such cases to be publi YesNo Social, personal and health education.Do you give permission for your child to take part in the Stay Safe and R.S.E. programme? YesNo General Permission Occasionally, a permission slip for you to sign will be sent home to allow your child to take part in a specific activity or event. However, there are also a number of ongoing activities that often require your child to leave the school grounds, under teacher supervision, for short periods of time. Accordingly, you are asked to give ongoing permission to take part in short trips/activities in the following locations: Uillin The West Cork Arts Centre, Skibbereen Sports Centre, St. Patrick’s Cathedral Skibbereen, Skibbereen Playground, Skibbereen Library, Rugby Club (athletics), Rossa Park, events and activities in the neighbouring secondary schools, events in neighbouring national schools, nature walks in the immediate vicinity of the school and local history walks.Do you give permission for your child to take part in activities that fall under the above categories? YesNo Accident form In the event of my child requiring medical attention for any reason during school or during any activities under supervision of the school, I consent to her referral to such doctor or hospital authority as the school authorities shall see fit. I also consent to the Doctor or Hospital Authority concerned carrying out such treatment or operative measures, as may be considered necessary, including the administration of general or other anesthetics. I understand that the school authorities will make every effort to contact me first.My child is alergic to Doctor usually attended by my child: I give consent to the above YesNo VerificationPlease enter any two digitsExample: 12This box is for spam protection - <strong>please leave it blank</strong>:
