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 : _____________________________________
*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 …………