Current step:Begin
Student Details
Family Details
Emergency Contacts
Wellbeing
Submit

Enrolment Form

This is a long form with 6 sections that you will need time to complete carefully. You can navigate Forward or Back from section to section but you MUST hit "SUBMIT" on the last section to submit the data. You must complete all required fields otherwise they will go RED and you must complete the form all in one sitting in order to avoid loosing data entered.

You will find it easier to complete this form on a Desktop/Laptop or Tablet than on a Mobile devices purely because of the amount of data required.

Please complete all sections carefully before submission. You can navigate forward and back on the form using the buttons. You can download a PDF copy to practice  before you do the full submission all in one sitting. Once submitted you will receive a copy of your application to the email address you supply in the 1st Section.

This is an application form ONLY and admission is not guaranteed until the form is processed and a confirmation has been sent by the school.

If you have any queries please email info@darverns.ie

Section 1 : Student

Full Name - As On Birth Cert
Gender *
Childs PPS Number
DD/MM/YYYY
eg Irish, Polish, etc
Year Child is to start in Scoil Dairbhre
Baptised
Is the child baptised
Previous School or Playschool Attended
In case of emergency
In case of emergency

Guardians Details

Person 1

Person 2

Section 1 : Family

Names of Brothers/Sisters already in the school
eg Oldest, Youngest etc
Address at which the child usually resides
Does any legal order under family law exist that the school should know of? If so provide details
Extra Info Contact *
Is it necessary for school reports, notice of meetings etc to be sent to a 2nd contact
Supply Name, Address, Phone, Number and Email

Section 3 : Emergency Contacts

In the event of both parents/guardians being unavailable - 2 ARE REQUIRED

Contact 1

Contact 1 Relationship To Child

Contact 2

Contact 2 Relationship To Child

Section 4 : Wellbeing

Early Intervention Services *
Did your child attend Early Intervention Services - If Yes please attach report.
Psychological Assessment *
Has your child ever had a psychological assessment - If Yes please attach report.
Speech and Language *
Has your child ever had a Speech & Language Assessment - If Yes please attach report.
Does your child have any health related issues eg Allergies, Epilepsy, Asthma, etc - Please provided details
Hearing Issues *
Does your child have an difficulty with hearing?
Speech Issues *
Does your child have an difficulty with speech?
Vision Issues *
Does your child have an difficulty with vision?
Behavioural Issues *
Does your child have an social or behavioral issues the school should know about?
Medical Issues *
Are there any medical reports the school should be made aware of?
Is there any further information from the previous question you want to provide?

Consent

Facebook Consent *
Do you give your consent for your child’s image, first name and photographs of their work to be included on our public view Facebook page.
Facebook Group Photos *
Childs photo be be shown as part of a large group on FB
Facebook Small Group *
Childs photo to be shown as part of a small group on FB
Facebook Individual Photo *
Child's individual photo to be shown on FB
Facebook School Work/Certificates *
Childs Achievements to be mentioned/photo on FB
Facebook First Name *
Child's First name to be mentioned on FB

Declaration