St. Kilian's Deutsche Schule / German School Application Form p. 1

St. Kilian’s Deutsche Schule Dublin

Established in 1952

Waiting List Placement

Name of child	surname	first name(s)
Date of birth	dd-mm-yyyy	place of birth
Further particulars	language(s) spoken	nationality	religious denomination	sex m/f
Waiting list	Kindergarten	proposed entry:	class:
	Primary School	proposed entry:	class:
	Secondary School:	proposed entry:	class:
Class type	DF (German as a Foreign Lan-	DM (German as Mother Tongue)	DN ( German as a new language)
	guage)

 

I / We request our child to be placed on St. Kilian's waiting list. I / We will inform the school of future changes of address. Application fee € 90

Parent's signature: Date:

St. Kilian's Deutsche Schule St. Kilian’s German School

tel. 00353-(0)1-288 3323/4  fax 00353-(0)1-288 2138  e-mail admin@kilians.com www.kilians.com

St. Kilian's Deutsche Schule / German School Application Form p. 2

Parents

telephone communication

Present school / crèche

Sisters or brothers in St. Kilian's

Can you give information as to your child’s state of health in as far as it  might affect pastoral care or academic tui­tion as provided by the school? Further comments or informa­tion

father’s name mother’s name mother’s address father’s address

mother’s home 

father’s home

mother’s work

father’s work

mother’s mobile

father’s mobile

mother’s e-mail

father’s e-mail

mother’s fax

father’s fax

since

name

 class name class

name class

St. Kilian's Deutsche Schule St. Kilian’s German School

tel. 00353-(0)1-288 3323/4  fax 00353-(0)1-288 2138  e-mail admin@kilians.com www.kilians.com