Pupil's Name (as on Birth Certificate) *required
Mother's maiden name *required
Medical Card No.
Date of birth of pupil *required
Pupil's PPS No. *required
Name of school pupil is currently attending *required
Special Education Needs (please give details)
Name of Parent/Guardian 1 *required
Name of Parent/Guardian 2
Name of brothers or sisters currently attending St. Peter's
Any other information:
I wish to have the above child considered for enrolment in St Peter’s. I accept that this is an Application Form and not an Enrolment Form and that my child will have to comply with all enrolment procedures before he/she can be enrolled in the school.