Application Form Kilkenny Steiner School Application Form Question Title " Education is not the filling of a pail, but the lighting of a fire." W.B. Yeats Question Title * 1. I wish to enrol my child in the Kilkenny Steiner School. Details: First name of child Last name of child Date of birth Male / Female Name of parent(s) / guardian(s) Address Address 2 Telephone landline Telephone mobile Email Question Title * 2. Additional information (eg. special educational needs) Question Title * 3. Current school (if any) Question Title * 4. General information How many people live in your house? Does your child live in more than one house? If so explain. Who is the principle caregiver? What languages are used to converse with the child? If other than English, give details Question Title * 5. Your child What does your child enjoy doing? Does your child enjoy school? What are your concerns for your child? Please share any helpful insights or observations of your child? Describe therapies or extra tuition your child has received and reasons Does your child watch television? If so how much time in a week? What types of programs are watched? Question Title * 6. How does your child play with other children? Question Title * 7. Medical information: Does your child wear glasses? Which vaccinations, if any, has your child had? Family Doctor Name: Family Doctor telephone: Question Title * 8. Anything else you wish to add Office Use Date & InitialsApplication receivedParent meeting with teacherSchool report receivedChild meeting with teacherAcceptanceStart Date Click here to complete enrolment