056 8838562
URLINGFORD COMMUNITY CHILDCARE
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ENROLLMENTS
Johnstown Childcare
StronaGlowna
Curriculum
Our Facility
Children's Rooms
Outdoor area
Multi-sensory Room
Dinning Area
Services
Wobbler Room
Toddler Room
Preschool Room
Afterschool
Summercamps
Grants and Fees
Free Preschool (ECCE)
Our Staff
Find us
Online application
Urlingford/ Johnstown Childcare Online Application Form
*
Indicates required field
Which Childcare Centre are you applying for?
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Urlingford Community Childcare
Johnstown Community Childcare
Either
Please chose your preference of centre or chose either if you are flexible.
What type of place are you looking for?
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Early Years/ Preschool place.
Afterschool place.
Child/rens Details
Child 1
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First
Last
Child's official name
Child 1 Date of Birth
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DD/MM/YYYY
Child 3 (if required)
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First
Last
Child 3 Date of Birth
*
Child 2 (if required)
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First
Last
Child 2 Date of Birth
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Child 3 (if required)
*
First
Last
Child 4 Date of Birth
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Address
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Line 1
Line 2
City
State
Zip Code
Country
Parent's/ Guardian's Details
Parent/ Guardian 1
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First
Last
Phone Number P1
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Email P1
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Address (if different from child's address)
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Line 1
Line 2
City
State
Zip Code
Country
Address required for parent/ guardians if different from child's address
Parent/ Guardian 2
*
First
Last
Details of parent/ guardian 2 is appropriate
Phone Number P2
*
Email P2
*
Address (if different from child's address)
*
Line 1
Line 2
City
State
Zip Code
Country
Information about your Child/ren
Does your child/ren have any allergies or dietary requirements?
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Yes
No
If yes please give details on the allergies or dietary requirement
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Does your child/ren have any Medical Conditions or Additional needs?
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Yes
No
If yes please give details on their medical condition/ additional need.
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Is there any other relevant information about your child/ren that we should know?
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Type of place required
This section is to give us an idea of the place you need. We understand needs change between submitting this application and when a place may become available. We're happy to discuss your need when a place is offered. Please leave a comment if you need a varied place so we can understand your need e.g. 2 full days and one half day or if you need a flexible place.
What day or days do you need/ prefer?
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Monday
Tuesday
Wednesday
Thursday
Friday
What type of place or places do you require?
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Full Day (8am to 6pm)
Short Day (8am to 2:30pm)
Part Time Early Years (8:45am to 12:45 am)
Sessional Early years/ Free Preschool (9am to 12pm)
Junior Afterschool (1:40pm to 6pm)
Senior Afterschool (2:40pm to 6pm)
Breakfast club (8am to 9am) including drop off to Urlingford NS
The place I require may vary day to day.
Please comment here if you have any varying or specific needs around the place you need.
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Are you flexible with the days or times you need?
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Yes
No
Do you need childcare to .......
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Access employment
Access Training
Allow your child the opportunity to mix and play with others
Other
If other please specify
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Has your child attended a childcare or childminder before?
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Yes
No
If yes for how long?
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Declarations and Submit
Declaration
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To the best of my knowledge the information I have provided is honest and truthful
Disclaimer
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I understand that submitting my application does not guarantee my child a place and I have read and agreed with the centre's admission policy
Admission Policy
Submit