Ballintemple
National   School

Enrolment Form

Click here to print & download Enrolment Form

Ballintemple National School (Scoil Náisiúnta Bhaile an Teampaill)
Crab Lane,
Ballintemple, Cork.
Telephone: (021) 4293608
Email: oifig@ballintemplens.ie

Child’s Name: _______________________________________________________________________

Date of Birth: ________________________________________________________________________

Address: ____________________________________________________________________________

             ___________________________________________________________________________

Parish:  _____________________________________________________________________________

Class: Junior Infant Class : _______________

Other:  __________________________

If other than Junior Infant Class, give name and address of previous school(s) and last class completed: __________________________________________________________________________

Telephone Numbers: So that we can contact parents / guardians during the school day if necessary.

Home Number ____________________  Work Number(s) ____________________________________

Mobile Number(s) ____________________________________________________________________

Mother’s Name: ______________________________________________________________________

Mother’s Maiden Name: _______________________________________________________________

Father’s Name: _______________________________________________________________________

Baptismal Certificate required with this application (if applicable)

I wish my child __________________________________ to be enrolled for September ____________

Signature: ______________________________________ Date: _______________________________

Please note: Submission of completed application form does not guarantee a place.
(For information on the school’s Enrolment Policy, please contact the school office or visit the school’s website.)