Hope Montessori - Montessori Form

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Montessori Application Form

DATA PROTECTION AND FREEDOM OF INFORMATION

WE, THE MANAGEMENT OF HOPE MONTESSORI AUTISM CARE CENTRE WILL TREAT ALL
INFORMATION AND PERSONAL DATA YOU GIVE US AS CONFIDENTIAL. WE WILL NOT
DISCLOSE IT TO ANY OTHER PERSON OR BODIES WITHOUT YOUR PERMISSION.

Application Type
Preferred Centre
Child's Details
Name of Child*
Date of Birth*
Address
Gender*
Parents Details
Mother's Name*
Address-:*
Mother's Phone Number*
Mother's Email*
Father's Name*
Address:-*
Father's Phone Number*
Father's Email*
Other Details
Who may be contacted in emergency if parents are not available?
Name:*
Address:*
Telephone*
Who other than the parents are permitted to collect the child?
Name*
Contact's Address*
Is there any custody arrangement in place for the above child? If yes please comment.*
Does your child has any special needs: yes or no If yes please give detail*
Any other details we should know
Do not enter anything in this field:

* indicates a required field

Please fill this field.

Mount View - Dublin 15

Monday 8:30 am – 6:00 pm
Tuesday 8:30 am – 6:00 pm
Wednesday 8:30 am – 6:00 pm
Thursday 8:30 am – 6:00 pm
Friday 8:30 am – 6:00 pm
Saturday Closed
Sunday Closed

Fortlawn - Dublin 15

Monday 8:30 am – 6:00 pm
Tuesday 8:30 am – 6:00 pm
Wednesday 8:30 am – 6:00 pm
Thursday 8:30 am – 6:00 pm
Friday 8:30 am – 6:00 pm
Saturday Closed
Sunday Closed

Inchicore -Dublin 8

Monday 8:00 am – 6:00 pm
Tuesday 8:00 am – 6:00 pm
Wednesday 8:00 am – 6:00 pm
Thursday 8:00 am – 6:00 pm
Friday 8:00 am – 6:00 pm
Saturday Closed
Sunday Closed

Limerick

Monday 8:00 am – 6:00 pm
Tuesday 8:00 am – 6:00 pm
Wednesday 8:00 am – 6:00 pm
Thursday 8:00 am – 6:00 pm
Friday 8:00 am – 6:00 pm
Saturday Closed
Sunday Closed

Cork

Monday 8:00 am – 6:00 pm
Tuesday 8:00 am – 6:00 pm
Wednesday 8:00 am – 6:00 pm
Thursday 8:00 am – 6:00 pm
Friday 8:00 am – 6:00 pm
Saturday Closed
Sunday Closed

OUR CHILD SECTOR PARTNERS
SMP - Childcare Software

HOPE PORTAL

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