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* 1. Ainm agus seoladh ríomhphoist an Tuismitheora | Name and e-mail address of Parent

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* 2. Cead teagmháil a dhéanamh leis an seoladh ríomhphoist seo | Permission to contact this e-mail address

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* 3. Uimhir Ghutháin an Tuismitheora | Parent's Phone Number

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* 4. Tugaim cead d'ionadaithe na scoile glaoch orm ag an uimhir seo chun cúrsaí iontrála a phlé liom | I give permission to representatives of the school to call me on this number to discuss enrolment matters

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* 5. Ainm an Pháiste (1) | Child's Name (1)

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* 6. Dáta Breithe an Pháiste (1) | Child's Date of Birth (1)

Date

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* 7. Bliain le tosú sa bhunscoil do Pháiste (1) | Year to begin primary school for Child (1)

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* 8. Ainm an Pháiste (2) | Child's Name (2)

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* 9. Dáta Breithe an Pháiste (2) | Child's Date of Birth (2)

Date

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* 10. Bliain le tosú sa bhunscoil do Pháiste (2) | Year to begin primary school for Child (2)

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