Parental Consent Form

Killinarden Community School > Enrolment > Parental Consent Form

PARENTAL CONSENT FORM

It may be necessary for Killinarden Community School to obtain information from your child’s school(s) or other with regards to testing, recommendations for and provision of additional help with any learning difficulties that your child may have encountered. To help us continue this provision or provide new help we need your permission to obtain any relevant information from the School. Any information received will be treated with the strictest confidence.

LIAISON WITH OTHER AGENCIES PARENTAL CONSENT FORM

Killinarden Community School

Name of Pupil: ________________________________________________________________________________

Date of Birth : _______________________________________________ Class: _____________________________

P.P.S No.: ____________________________________________________________________________________

Home Address : _______________________________________________________________________________

____________________________________________________________________________________________

Contact Phone Number: _________________________________________________________________________

I give consent to the Department of Education Psychologist/Primary school or other to pass on relevant information about my child to Killinarden Community School.

Father: ___________________________________                         Guardian : _________________________________

Mother : __________________________________                         Date : _____________________________________

Photograph Permission

*From time to time photographs of pupils involved in school activities may be included in display booklets to promote the school. If you have any objection to the school using such photographs please tick the box …………