Barnatra National School,
Barnatra,
Ballina,
Co. Mayo.
Tel: 097 84008
Email: barnatrans20@gmail.com
http://barnatrans.blogspot.ie/
Enrolment
Form
Section
1 – Student
Name
_____________________________________________________________
PPS _______________________________________________________________
Date of Birth
________________________________________________________
Religion ____________________________________________________________
Country of Birth
______________________________________________________
Previous school or Playschool
attended ___________________________________
Medical & Allergy
information ___________________________________________________________________
Child’s Doctor’s Name
_________________________________________________
Doctor’s Telephone Number
____________________________________________
Emergency contacts (if parents
are unavailable)
1) Name
____________________________________
Phone Number ________________________
2) Name
____________________________________
Phone Number
_________________________
Name of person/s who have
permission to collect your child from school: ___________________________________________________________________
___________________________________________________________________
Section
2: Parents/Guardians
Mother’s Name: ______________________________________________________
Mother’s Mobile Number:
_______________________________________________
Mother’s Email Address:
_______________________________________________
Mother’s Work Telephone Number: _______________________________________
Father’s Name:
______________________________________________________
Father’s Mobile Number:
_______________________________________________
Father’s Email Address:
_______________________________________________
Father’s Work Telephone Number:
_______________________________________
Section
3 – Family
Address (at which child resides)
___________________________________________________________________
___________________________________________________________________
Does any legal order under Family Law exist that the school
should know of? (Please provide school with a copy of any document that is
relevant to school/education) _____________________________________________________
School reports, newsletters etc will be sent to your child’s
permanent address. Would you like additional copies to be forward to another address.
If so, please give name, address and email of the recipient
___________________________________________________________________
___________________________________________________________________
_________________________________________________________________________
Section
4 - Consents
|
|
Yes |
No |
|
Do you give
permission for your child to use the School Internet in accordance with the
school Internet Policy? |
|
|
|
Do you give
permission for your child to go on school trips under teacher supervision? |
|
|
|
Do you give
permission for your child to be photographed for school projects, local
newspapers & school related activities? |
|
|
|
Do you give permission
for your child’s photograph and or work to be used on the school’s blog? |
|
|
|
Do you give
permission for your child to receive any necessary medical care from a
doctor, ambulance crew, hospital, etc., in the event of an accident or
illness occurring, where the school is unable to contact parents/guardians? |
|
|
|
I give permission for
my child’s clothes to be changed by a school employee, in case of an accident
(Junior/ Senior Infants only) |
|
|
|
I give permission for
my telephone number to be shared with other parents in the school, if
requested |
|
|
Parent _____________________________
Date _______________________________
Parent _____________________________
Date _______________________________
Section
5 - Declarations
I understand that the RSE and Stay Safe programmes will be
taught to my child and that anatomically correct wording are used at class
appropriate level as laid down by the Department of Education.
I understand that the information on this form will be
stored on the school’s data management system and the Department of Education’s
Primary Online Database (POD).
I understand that Barnatra NS has adopted the Child
Protection Guidelines and Procedures for Primary and Post-Primary Schools 2017.
I understand that Barnatra NS
has adopted the Anti-Bullying Procedures for Primary and Post-Primary Schools
2013.
Private and Confidential
To fully support your child,
it is vital that the school be informed of any relevant situation, now or in
the future, regarding health, bereavement, domestic circumstances that may
impact on the child’s social, emotional or educational development. You may
contact the Principal or your child’s teacher directly. Any information will be
treated in the strictest confidence.
Signed
Parent __________________________________________
Date_______________________
Parent
__________________________________________
Date _______________________
Link to our Whole School Evaluation (WSE) report conducted
April 2018
Link to our WSE follow-up inspection conducted in November
2019
Barnatra NS
Consensual Pupil Information
Requested for Department of Education and Skills Personal Online Database
The
Department has consulted with the Data Protection Commissioner in relation to
the collection of individual pupil information for the Primary Online
Database. Religion and ethnic and cultural background are special
category data under the General Data Protection Regulation (GDPR). Mother
tongue is personal category data requiring consent for collection. While these
questions are optional, written consent is sought by the student’s school to
record this information and for the school to forward this information to the
Department.
The
information would be very useful to the Department for statistical and research
purposes. Aggregated information on
Ethnic/Cultural background will be used to track the progress of these groups,
and to compare their progress with other groups, thereby identifying gaps in
the system and assisting in the development and implementation of appropriate
policies and interventions. Aggregated
information on religion will be used for statistical purposes only. Mother tongue is collected to identify,
monitor and evaluate the need for English as an additional language (EAL)
support. Parents/guardians have the option to identify their children’s
religion, ethnic background or if mother tongue is English or Irish and to consent
for this information to be transferred to the Department of Education and
Skills. This page of the form will be retained by your primary school.
Special category data
To which ethnic or cultural background group
does your child belong (please tick one)?
(Categories based on the Census of Population)
White Irish o
Irish Traveller o
Any other White
Background o
Roma o
Black or Black Irish -
African o
Black or Black Irish - Any
other Black Background o
Asian or Asian Irish –
Chinese o
Asian or Asian Irish - Any
other Asian background o
Other (inc. mixed
background) o
No consent o
What is your child’s
religion?
Roman Catholic o
Church of Ireland (Anglican) o
Muslim (Islamic) o
Orthodox (Greek, Coptic, Russian) o
Jewish o
Christian
Religion (not further defined) o
Apostolic or
Pentecostal o
Hindu o
Presbyterian o
Atheist o
Baptist o
Buddhist o
Protestant o
Jehovah’s
Witness o
Methodist,
Wesleyan o
Lutheran o
Agnostic o
Evangelical o
Other Religiono
No Religiono
No Consent o
Personal category data
Is one of
the pupil’s mother tongues (i.e. language spoken at home) Irish or English?
Yes o
No o
No Consent o
I consent for the special category data in the
two questions and the personal category data question to be stored on the
Primary Online Database (POD) and transferred to the Department of Education
and Skills and any other primary schools my child may transfer to during the
course of their time in primary school.
Signed:
___________________________
Parent/Guardian
Date:
____________________________
Please complete this form and
return to your primary school. For further information on POD please go to the
Department of Education and Skills’ website www.education.ie
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