Child’s Name:

Address:

Telephone Number/s:

E-mail:

Child’s Date of Birth: Child’s PPS Number:

Father’s Name:

Occupation:

Mother’s Name:

Occupation:

Religion/s:

Brother(s)/Sister(s) already attending Scoil San Treasa, or for whom an application has been made:

Name of Last School:

Proposed Year of Entry:

Class (if not Junior Infants):