Junior Infants :: Cloughfin N.S.

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Cloughfin N.S.

Cloughfin,
Ballindrait,
Lifford,
Co. Donegal.

(074) 9145705

scoilcholmcille@hotmail.com

Homepage > Home-School Links > Junior Infants

Junior Infant

Please fill in and submit this form for your Junior Infant only.

Name of Child: *

Date of Birth of Child: *

Does your child have any allergies? *

Yes

No

If yes - give more information:

Does your child have any medical conditions e.g. Asthma? *

Yes

No

If yes, please explain:

Permission for photos of child to put on school facebook and school website: *

Yes

No

Permission for staff to administer First Aid if necessary: *

Yes

No

Permission for child to go on bus for school trips with his/her class: *

Yes

No

Name of Child's Doctor: *

Any other information you would like to add:

Emergency Contact Numbers: (names and numbers) *

Your name: *

E-mail *

Date *

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