Children Student Application Form

Application Form

IMPORTANT NOTICE:

Stop! Before you fill in this form, please ensure you are selecting the correct information for your child from the dropbox selections - there are multiple answers to choose from.

THIS FORM IS FOR PRIMARY SCHOOL CHILDREN ONLY, Term begins 1st September 2025. If you are signing your child up after start date, please get in touch for payment.

Forms must be completed on a one family basis. Sibling discounts only apply to members of the same family.

Parent/Guardian Details

Please fill these details out carefully as they will be used in the case of emergency.

Name

Email Address *

Mobile Number *

Alternative Mobile Number

Street Address

City

State/Province

ZIP / Postal Code

Student Details

How many students do you wish to register? *

Student's Name *

Date of birth *

Class *Please select your current class level at school.

Are there any physical/mental matters, allergies or learning difficulties we should know about? *

Please choose the class you wish to sign up for below: *If your option is not visible, class is booked out. Email or text to be put on waitlist.

Student's Name (Child 2) *

Date of birth (Child 2) *

Class (Child 2) *Please select your current class level at school.

Are there any physical/mental matters, allergies or learning difficulties we should know about? (Child 2) *

Please choose the class you wish to sign up for below: (Child 2) *If your option is not visible, class is booked out. Email or text to be put on waitlist.

Student's Name (Child 3) *

Date of birth (Child 3) *

Class (Child 3) *Please select your current class level at school.

Are there any physical/mental matters, allergies or learning difficulties we should know about? (Child 3) *

Please choose the class you wish to sign up for below: (Child 3) *If your option is not visible, class is booked out. Email or text to be put on waitlist.

Student's Name (Child 4) *

Date of birth (Child 4) *

Class (Child 4) *Please select your current class level at school.

Are there any physical/mental matters, allergies or learning difficulties we should know about? (Child 4) *

Please choose the class you wish to sign up for below: (Child 4) *If your option is not visible, class is booked out. Email or text to be put on waitlist.

Terms

Photography Consent *Do you issue consent for your child’s picture to be taken and used on Action Arts social media platforms/ website?

Payment

Payment Option *

Debit/Credit Card Payment Information

If you are joining after September 2025, please get in touch regarding payment.

Your fees will be calculated based on the number of students you selected above.

15 WEEK TERM SEPT-DEC 2025

€177.50 per child

€340 for two siblings (€10 discount)

€502.50 for three siblings (€30 discount)

€645 for four siblings (€50 discount)

Bank Transfer

For bank transfers, please ensure you list your name in the narrative field of the bank transfer.

Bank Account name: Aoife Morrison T/A Action Arts
IBAN: IE60BOFI90113233020139

Cash/Cheque

Cash and cheque payments must be made on the first day of term.

All cash and cheque payments must be place in a envelope with the students name printed clearly on the front.

Notes/Comments