Castlecomer Community School
Castlecomer, Co. Kilkenny
Telephone: 056-4441447 Fax: 056-4441749
Please copy, print, complete and return this form to the school office.
NAME OF PUPIL: ____________________________________
CLASS: ____________________________________
I do not give permission for my child’s image to be displayed on the school website.
Signature ____________________________________
Date: ____________________________________
Home Telephone:____________________________________