Booking Competition Entry Form – The Carlow Academy

C Booking Competition Entry Form

Booking Form Details

Disclaimer: Filling out this form is required to be in with a chance of winning
Student's Full Name*

Please provide first name and surname
Student's Date Of Birth*

Day
Month
Year
Student's Email Address*
Student's Contact Number*
Parent/Guardian Name*

Please provide first name and surname
Parent/Guardian Email Address*
Parent/Guardian Mobile Contact Number*
Home Contact Number OR Second Mobile Number (in case of emergency)*
Name of School as of the academic year 2022/2023*
Year Group (in school) as of the academic year of 2022/2023*
Please fill in this box if you are booking into our STUDY CENTRE and there are set day(s) that you WILL NOT be attending study and also if you have a list of set days and times that you will arrive late and/or leave early on a weekly basis during our opening hours listed below the box
We can then upload this information to our online attendance system so you will not have to text us daily/weekly to confirm any days and times listed. Our study centre times are as follows: Mondays to Thursdays: 4.15pm to 6.15pm and 6.30pm to 8.30pm [includes a 15 minute break] Fridays: 2pm to 4pm and 4.15pm to 6.15pm [includes a 15 minute break] Saturdays: 10am to 12pm and 12.15pm to 2.15pm [includes a 15 minute break]
Doctor's Name*

Please provide Doctor’s first name and surname
Doctor's Contact Number*
Medical Information (if applicable)
Please provide us with all necessary details for your son or daughter’s medical condition(s) and also what needs to be done/happen in a case of emergency.
Special Educational Needs (if applicable)
Please provide us with all the necessary details of any Additional Educational Needs that we need to be made aware of so that your son or daughter’s can make real progress at The Carlow Academy-this information will only be disclosed to staff who will be dealing with your son or daughter.
Any additional information (if applicable)-BEST OF LUCK IN THE COMPETITION-I WILL BE IN TOUCH IF YOU ARE A WINNER
Do you wish to notify me of absenteeism?*
- Yes
- No
Sign up to the 'newsletter' to keep up-to-date with all services and special offers supplied by 'The Carlow Academy'*
- Yes
- No
If a student must leave early, the parent/guardian should inform us via text of this at least 24 hours in advance if possible. If late or returning from an appointment then they we should also be informed. This is all in the interest of safety for your child so please give us as much notice as possible. Please read our Admission Rules for further details.
Privacy Policy Consent*
I agree to the privacy policy.
Admission Rules Consent*
I accept the Terms & Conditions.

C Booking Competition Entry Form

Disclaimer: Filling out this form is required to be in with a chance of winning

Want To Have A Consistent Routine? Then Become A Member Today

Want To Have A Consistent Routine?

Then Become A Member Today