Homework Club Application Form

Child Details

Parent/Guardian(s) Contact Details

You must be contactable at these numbers during the time your child is attending the Homework Club, if not please give us a number that we can contact someone in the event of an emergency

Personal Details

Does your child have any medical conditions, illness, disabilities and / or allergies?

Have any of your child's siblings / relations attended Ballincollig Family Resource Centre Pre-School / Homework Club in the past?

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During the course of the year we may gather images digital or otherwise of the Homework Club for use in reports (Annual Report) or Facebook, our website or any advertising / promotion

In the case of an emergency Ballincollig Family Resource Centre may need to deal with the situation immediately. Your consent is required to act on your behalf. You will be asked to sign when you visit the Centre.

Please note there is currently a waiting list for the Homework Club. We will contact you when a place becomes available and invite you to come and meet us and sign additional paperwork.