Whitecross National School

Application for Enrolment
Whitecross Primary School
Julianstown, Co. Meath

Application for year____________


Pupil’s Name:………………………………………………

Date of Birth: .. ……………………………………………

Religion: …………………................

Nationality: .........................................


Names of brothers/sisters at this school: ................................................................................................................................................................................................................................................................

Home Address: …………………………………………………………………………………………………………………………........................................................................................................................................................................................................

Telephone: ……..........…...................

Mobile: ….............……………….

Parent’s/Guardian’s Signature: __________________________

Todays Date: __________________


Today’s Date: ………………………