Early Start Form

Early Start Programme for September 2014 at North Presentation Primary School

CHILDREN MUST BE BORN ON OR BETWEEN 2ND FEBURARY 2010 AND 30TH JUNE 2011.

Child's Name *

Home Address *

Date of Birth *

PPS No.

Mother's Name *

Mother's Occupation

Father's Name *

Father's Occupation

Telephone No. *

Has the child any problem that teacher should know about?

If we can give a choice of time, which would suit you best? *

9.00 - 11.30 a.m.

12.00 noon - 2.30 p.m.

Email Address *

PLEASE NOTE:

Completion of an application form doesn’t guarantee a place for your child in the Early Start
Unit. All applications will be processed during April , 2014.