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Student details

Surname:

First names (as on birth cert):

DOB:

Address:

Primary school:

P.P.S No:

Nationality:

Details of Parents / Guardians

Mother's (guardian) surname:

Mother's (guardian) first name:

Mother's (guardian) Maiden Name:

Address:

Email address:

Home No:

Work No:

Mobile No:

Father's (guardian) surname:

Father's (guardian) first name:

Address:

Email address:

Home No:

Work No:

Mobile No:

Medical & Family Information

Doctor's Name:

Health information (Include any allergies, other conditions):

No. children in family:

Position in family:

In case of emergency...

Name:

Relationship:

Home No:

Work No:

Mobile No:

Other Information

Parent Past Pupil (if so year graduated):

Where did you hear about the school:

Siblings at/previoulsy attended Cluny, name and class/year graduated):

Any other schools you have applied to:

Confirmation of application

We confirm our intention to enrol our daughter in St. Joseph of Cluny Secondary School and we agree to accept the Admissions Policy, Code of Behaviour Antibullying Policy and the Computer and Internet Usage Policy. We consent to our daughter’s image being published in photograph/video on school website, social media, local and national, to celebrate school successes

In relation to GDPR please see our school’s Policy on our policy's page.

Failure to complete this form fully will invalidate the application.

Application for Enrolment 2023/24