Main menu:
St. Patrick’s Boys’ N.S. Scoil Phádraig Naofa
Tel: 021 4502024 Fax: 021 4502719
www.stpatricksboys.net
email.spb.ias@eircom.net
Enrolment Form
Pupil’s Name: _______________P.P.S.N. ________________
Address: _____________________________________________________
Date of Birth: ___________Home/Mobile Tel No: _________
Religion: ____________ Start Date: ____________________
Previous School: _______________ Class: _______________
Father’s Name: ____________
Mobile No: _________________
Mother’s Name: _____________________
Mobile No: _________________
Email address: _________________________________
No. of children in family: _______________
Place of child: _______________
Family Doctor: _______________________
Tel: _______________________
Do you hold a medical card? Yes/No
Details of any illness or problem, which may affect your child’s school life:
________________________________________________________________
________________________________________________________________
In the event of there being nobody at home we need phone numbers and addresses of relatives/neighbours of your choice who can be contacted:
Name: _______________ Name: _________________________
Address: ____________ Address: ________________________
______________________ ________________________
Tel: __________________Tel: ____________________________
Relationship and Sexuality Education Information
St. Patrick’s B.N.S. follows the Relationship and Sexuality Education Programme (R.S.E.) and Stay Safe Programme as laid down by the Department of Education and Science.
An outline of R.S.E. and Stay Safe lessons will be made available to Parents/Guardians before the lessons are taught each year.
The R.S.E. policy is available for viewing through the School Secretary’s office. Copies are available on request.
By signing below I confirm being made aware of my choice to withdraw my child from areas of the R.S.E. and Stay Safe programme.
Also please read carefully and tick where appropriate;
I give permission for the following:
My child to use the internet for educational purposes
My child’s image to appear on the school website www.stpatricksboys.net, on press photographs taken on school activities and on any other school-
The transfer of data to any school or institution with which my child is involved in order to facilitate educational provision
The participation of my child in educational trips and tours
Signed: Parent’s/Guardian’s signature(s):
____________________________ ____________________________
Dated: _________________