Enrolment Form for St. Coen’s Primary School Rathnew

Please ensure that you have filled in every section of the Enrolment Form before returning it to the school.

  • All information on this form will be treated with the strictest of confidence.
  • Filling in this application form does not guarantee a place for your child
  • If any of the above information changes please advise the school in writing.
Please Note! All fields marked * are mandatory!
Please type your Child’s full name.
Please type your Child’s PPS
Invalid Input
Please provide a copy of your child’s Birth Certificate
Please type your Child’s Nationality
Please type your Child’s Place in Family
Name of other member of family in St. Coen’s
Fill in your Home Address
Fill in your Eircode
Fill in your Phone number
Fill in your Mobile number
Fill in your First Contact number
Fill in your Mobile Number for school text
Invalid email address.
Fill in Father's Name
Fill in Father’s Occupation:
Fill in Mother's Name
Fill in Mother’s Maiden Name
Fill in Mother’s Occupation
Fill in Previous School / Preschool
Do you give consent for St. Coen’s to contact the above named preschool/playschool for information that may be helpful for us in the care of your child?
Fill in Useful Information:
Does your child have a Medical Condition or Allergies?
Fill in Medical Condition / Allergies etc
Fill in Vaccinations
Does any legal order under the Family Law exist that the school should know about?
Please provide a copy of the court/ legal order.
Fill in Family Doctor
Fill in Family Doctor's Phone Number
Fill in Contact if child is ill or injured
Please provide details of two other persons in case you are noncontactable:
Other Person to contact if you're unavailable
Other Person to contact if you're unavailable
If contact can’t be made has the school permission to bring child to doctor or hospital?
Fill in Class applied for
Fill in Year to start
The Department has consulted with the Data Protection Commissioner in relation to the collection of individual pupil information for the Primary Online Database. Both religion and ethnic and cultural background are considered sensitive personal data categories under Data Protection legislation. Therefore, it is necessary for each pupil’s parent/guardian to identify their child’s religion and ethnic background, and to consent for this information to be transferred to the Department of Education and Skills. All other information held on POD was deemed by the Data Protection Commissioner as non-sensitive personal data.

Optional Information

Fill in which ethnic or cultural background group your child belongs to
Fill in your child’s religion?
Do you consent for this information to be stored, as mentioned above?
Fill in Parent / Guardian Name
Invalid Input
Invalid Input