Name of Child (required) Name of Child (required)

First Name

Last Name

Date of Birth (dd/mm/yyyy) (required)

Child's PPS No.

Nationality (required)

Religion ReligionRoman CatholicNo consentNo religionMuslim (Islamic)Church of Ireland (Anglican)Orthodox (Greek, Coptic, Russian)Christian Religion (not further defined)Apostalic or PentecostalOther ReligionsHinduPresbyterianAtheistBaptistBuddhistProtestantJehovah's WitnessMethodist/WesleyanLutheranAgnosticEvangelicalJewish

Will your child be making their Holy Communion? (required) Will your child be making their Holy Communion? (required) Yes No

Name and address of pre-school or previous school attended (required)

Phone no. of previous school (required)

I give permission to the principal to discuss the needs of my child with the manager of the pre-school/school listed above (required) I give permission to the principal to discuss the needs of my child with the manager of the pre-school/school listed above (required) Yes No

Name and phone no. of Family Doctor (required)

In the event of an emergency, should we fail to contact you, do you give permission to the School to bring your child to doctor/hospital? (required) In the event of an emergency, should we fail to contact you, do you give permission to the School to bring your child to doctor/hospital? (required) Yes No

Name and class of siblings already in the school

Parents - The following information is needed for registration purposes. Parents - The following information is needed for registration purposes.

Mother/Guardian 1 First Name

Mother/Guardian 1 Last Name

Father/Guardian 2 First Name

Father/Guardian 2 Last Name

Mother/ Guardian 1 Phone Number (required)

Father/ Guardian 2 Phone Number

Mother/ Guardian 1 email (required)

Father/ Guardian 2 email

Mother/ Guardian 1 Work Number (required)

Father/ Guardian 2 Work Number

Home Phone No.

Mother/ Guardian 1 Nationality (required)

Father/ Guardian 2 Nationality (required)

Language(s) spoken at home (required)

Date of arrival in Ireland (dd/mm/yyyy)

Is child living with both parents? (required) Is child living with both parents? (required)YesNo

With whom does the child normally reside? With whom does the child normally reside?

First Name

Last Name

Home Address (please include eircode) (required) Home Address (please include eircode) (required)

Address Line 1 (required)

Address Line 2

Town/City (required)

County

Eircode (required)

Alternative Address description (e.g. Mom, Dad, Granny)

1st contact person if parent not available 1st contact person if parent not available

First Name

Last Name

Description (required)

Phone No. (required)

2nd contact person if parent not available 2nd contact person if parent not available

First Name

Last Name

Description (required)

Phone No. (required)

Do you give permission for your child to go on school trips within walking distance of the school under teacher supervision during the school day e.g trips to the local town park, local historical buildings etc. (required) Do you give permission for your child to go on school trips within walking distance of the school under teacher supervision during the school day e.g trips to the local town park, local historical buildings etc. (required)YesNo

Sometimes journalists visit our school to take pictures of the children e.g awards/prizes, sporting events, first day at school etc. Do you give permission for your child to be photographed for school projects, local newspapers, and school related activities? (required) Sometimes journalists visit our school to take pictures of the children e.g awards/prizes, sporting events, first day at school etc. Do you give permission for your child to be photographed for school projects, local newspapers, and school related activities? (required)YesNo

The Board of Management cannot be held responsible for pictures/video taken by parents at Celebrations, School Concert etc. The Board of Management cannot be held responsible for pictures/video taken by parents at Celebrations, School Concert etc.

Do you give permission for your child’s photo/video/work to be used on the school website, school facebook page and for school promotion? (required) Do you give permission for your child’s photo/video/work to be used on the school website, school facebook page and for school promotion? (required)YesNo

Sometimes the school is requested to pass on names of children and their addresses to the Health Board for immunisation purposes, to secondary schools when children are transferring to second level, to sporting bodies when children are taking part in games outside the school. Do you allow the school to pass on this information to these three bodies? (required) Sometimes the school is requested to pass on names of children and their addresses to the Health Board for immunisation purposes, to secondary schools when children are transferring to second level, to sporting bodies when children are taking part in games outside the school. Do you allow the school to pass on this information to these three bodies? (required)YesNo

The school teaches Relationships and Sexuality Education (RSE) using the guidelines provided by the Department of Education and Science. If you have any concerns with regard to RSE please tick this box so that an appointment will be made with the principal to discuss your concerns. The school teaches Relationships and Sexuality Education (RSE) using the guidelines provided by the Department of Education and Science. If you have any concerns with regard to RSE please tick this box so that an appointment will be made with the principal to discuss your concerns.

Parent Electronic Signature (required). By typing your name you are certifying that the information given in this form is accurate; agreeing that the pupil enrolled herewith will be subject to the schools codes & policies; consenting to the administration of all relevant screening tests to the above name pupil; and undertaking that he will comply fully with all School Rules in Bishop Galvin Central School.

Date of Signature (dd/mm/yy) (required)

Pupil Information required for Department of Education and Skills Primary Online Database The Department of Education and Skills has developed an electronic database of primary school pupils called the Primary Online Database (POD) which involves schools maintaining and returning data on pupils to the Department at individual pupil level on a live system. The database allows the Department to evaluate progress and outcomes of pupils at primary level, to validate school enrolment returns for grant payment and teacher allocation purposes, to follow up on pupils who do not make the transfer from primary to post primary level and for statistical reporting. The database will hold data on all primary school pupils including their PPSN, First Name, Surname, Name as per Birth Certificate, Mother's Birth Surname, Address (including Eircode), Date of Birth, Gender, Nationality, whether the pupil is in receipt of an Exemption from Irish and if so the reason for same, and whether the pupil is in a Mainstream or Special Class. The database will record the class grouping and standard the pupil is enrolled in. The database will also contain, on an optional basis, information on the pupil's religion, on their ethnic or cultural background and whether one of the pupil's mother tongues is English or Irish. Pupil Information required for Department of Education and Skills Primary Online Database The Department of Education and Skills has developed an electronic database of primary school pupils called the Primary Online Database (POD) which involves schools maintaining and returning data on pupils to the Department at individual pupil level on a live system. The database allows the Department to evaluate progress and outcomes of pupils at primary level, to validate school enrolment returns for grant payment and teacher allocation purposes, to follow up on pupils who do not make the transfer from primary to post primary level and for statistical reporting. The database will hold data on all primary school pupils including their PPSN, First Name, Surname, Name as per Birth Certificate, Mother's Birth Surname, Address (including Eircode), Date of Birth, Gender, Nationality, whether the pupil is in receipt of an Exemption from Irish and if so the reason for same, and whether the pupil is in a Mainstream or Special Class. The database will record the class grouping and standard the pupil is enrolled in. The database will also contain, on an optional basis, information on the pupil's religion, on their ethnic or cultural background and whether one of the pupil's mother tongues is English or Irish.

Teacher/Class Name (required)

Current class at school (required)

Pupil Name (required) Pupil Name (required)

First Name

Last Name

PPSN of Pupil (required)

Pupil's Date of Birth (ddmmyy) (required)

Pupil's Gender (required) Pupil's Gender (required)FemaleMale

Birth Cert Forename & Surname (if different from name above)

Pupil Address (required) Pupil Address (required)

Address Line 1

Address Line 2

Town/City

County

Eircode

Pupil Nationality (required)

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. 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.

To which ethnic or cultural background group does your child belong (please tick one)? (required) To which ethnic or cultural background group does your child belong (please tick one)? (required)

(Categories based on the Census of Population) (Categories based on the Census of Population)White IrishIrish TravellerAny other White backgroundBlack or Black Irish - AfricanBlack or Black Irish - African - any other Black backgroundAsian or Asian Irish - ChineseAsian or Asian Irish - Chinese - any other Asian backgroundOther (inc. mixed background)No consent

What is your child's religion? (required) What is your child's religion? (required)Roman CatholicNo consentNo religionMuslim (Islamic)Church of Ireland (Anglican)Orthodox (Greek, Coptic, Russian)Christian Religion (not further defined)Apostalic or PentecostalOther ReligionsHinduPresbyterianAtheistBaptistBuddhistProtestantJehovah's WitnessMethodist/WesleyanLutheranAgnosticEvangelicalJewish

Is one of the pupil’s mother tongues (i.e. language) spoken at home Irish or English? (required) Is one of the pupil’s mother tongues (i.e. language) spoken at home Irish or English? (required)YesNo

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 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

Parent/Guardian Signature

Date of Signature (dd/mm/yy) (required)