|
|
GAELSCOIL CHLUAIN DOLCÁIN FOIRM IONTRÁLA (Enrolment Form Sept 2010) Fón: 457 4970 Facs: 467 0538 Ainm/Child’s Name: ............................................................................................................... Dáta Breithe/Date of Birth: ................................................................................................... Seoladh/Address……………………………………………………………………….………………………………………........... ……………………………………….......................................................................................................... Ainm na dTuismitheoirí/Parents Names: ............................................................................... Gairm Bheatha/Occupation……………………………………………………………............................................ Uimhir Ghutháin/Phone No: Home: ................................... Mobile: ...................................... Work …………………………… An bhfuil dearthár/deirfiúr sa scoil?/any brothers or sisters in the school? ........………….............. Ainm an Pharóiste agus Sagart Paróiste/Name of Parish and Parish Priest (needed for school records) …………………………………………………………………………………………. Aon Tinneas no fadhbh phearsanta/Any illness, allergies or developmental difficulties which you feel your child’s school should be aware of: …………………………………………………………………………………………................................................................. Doctúir Teaghlaigh/Family Doctor – Please supply name, address and telephone number of doctor. …………………………………………………………………………………………................................................................. Uimhir(eacha) agus Ainm(neacha) i gcás éigeandála Contact Person in case of necessity (Not those named Above) Ainm/Name……………………………...................................................................... Seoladh/Address……………………………………………………………………..…………………………………………. Uimhir Ghutháin/Tel No……………….......................................................... Cén fáth go bhfuil suim agat do pháiste a chur ag Gaelscoil? Why are you interested in sending your child to an all-Irish school? …………………………………………………………………………………………................................................................. …………………………………………………………………………………………................................................................. Cumas na dtuistí sa Ghaeilge/Parents ability in Irish. Fluent Fair Very little Máthair/Mother Ar fhreastal do pháiste ar aon naíonra/Has your child attended any pre-school/playgroup? …………………………………………………………………………………………................................................................. Aon Eolas Eile/Any other comments/details: …………………………………………………………………………………………......................................................................... Síniú an Tuismitheora/ Parents Signature………………………………………....................... Dáta/Date……………….. Líon isteach an fhoirm seo agus cuir ar ais é roimh 31ú Eanair 2010
|
|
| ©
2010 Gaelscoil Chluain Dolcáin |
||
