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Admission | Children's Vilage Nursery School admission form.
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Children's Village Montessori

The Children's Village, Chieftans Way, Balbriggan, Dublin, Ireland


Tel: +353 1 8411770, Fax: +353 1 8411331


E-Mail: info@childrensvillage-ire.com


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Children's Village Nursery School Admission Form -

Download Form PDF



Fill in as much information as possible below to start the admission process. Thank you.

Child Record

Child Name:
Address:
Date of Birth:
Telephone:
Email:
Country:

G.P.

G.P. Name:
G.P. Address:
G.P. Telephone:
Days of First Attendance:
Days of Last Attendance:
Days & Hours of Prosposed Attendance:

Details of Parent(s)/Guardian(s)

1. Parent(s)/Guardian(s) Name:
Parent(s)/Guardian(s) Address:
Parent(s)/Guardian(s) Phone:
2. Parent(s)/Guardian(s) Name:
Parent(s)/Guardian(s) Address:
Parent(s)/Guardian(s) Phone:

Record of Immunisations

BCG/Tuberculosis:
Polio:
Diphtheria:
Whooping Cough:
HIB:
Tetanus:
Measles:
Mumps:
Rebella:

Other Information

Allergies & Special Needs:
Any Other Information:

Details of people authorised to collect your child

Details of people authorised to collect your child:
Validate:
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