Guardianship 2026/27
By completing this form below, you, the parents/guardians of the child named below, hereby appoint Sarah Bill to provide education guardianship services while they are studying in the Ireland. Once we receive your enrolment form we will respond by return with confirmation paperwork.
Student Details
Name
*
First Name
Last Name
Preferred Name
Date of Birth
*
-
Day
-
Month
Year
Date
Male/Female
*
Male
Female
Passport Number
*
Headshot of Student
*
Browse Files
Cancel
of
Passport Expiry Date
*
-
Day
-
Month
Year
Date
Do they need a Visa to Study in Ireland?
*
Yes
No
No Sure
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School Details
School
School Year
School Year
*
5th Class (Headfort School Only)
6th Class (Headfort School Only)
Senior 1 (Headfort School Only)
1st Form/Year
2nd Form/Year
3rd Form/Year
TY - 4th Form/Year
5th Form/Year
6th Form/Year
University Student
Year 8 (Dungannon Royal & Campbell College Only)
Year 9 (Dungannon Royal & Campbell College Only)
Year 10 (Dungannon Royal & Campbell College Only)
Year 11 (Dungannon Royal & Campbell College Only)
Year 12 (Dungannon Royal & Campbell College Only)
Year 13 (Dungannon Royal & Campbell College Only)
Year 14 (Dungannon Royal & Campbell College Only)
Guardianship Programme Start Date
*
-
Day
-
Month
Year
Date
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Family Details
Parent 1 Name
*
First Name
Last Name
Parent 2 Name
First Name
Last Name
Address
*
Home Phone Number
-
Area Code
Phone Number
Work Phone Number
-
Area Code
Phone Number
Parent 1 Cell Number
*
-
Area Code
Phone Number
Parent 2 Cell Number
-
Area Code
Phone Number
Parent 1 Email
*
example@example.com
Parent 2 Email
example@example.com
Parent 1 Wechat ID
Parent 1 Line ID
Parent 2 Wechat ID
Parent 2 Line ID
Preferred method of contact
Email
Whatsapp
Wechat
Signal
Line
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Medical emergencies:
If you cannot be contacted, do you consent to all emergency medical or dental treatment including inoculations, general or local anaesthetic, surgery or blood transfusions which, in the opinion of a qualified doctor, are necessary for your child's safety and well being, under the National Health Service or privately if necessary?
*
Yes
No
Do you consent to the administration of medication such as paracetamol, cough mixture, eye drops etc normally sold over the counter by a chemist for treatment of minor ailments (always taking into account medical information you have supplied to the guardian)
*
Yes
No
Does the student have any allergies or intolerances? (e.g. medication/food/dust/stings)
*
Yes
No
Please list any medical, allergy or dietary information that applies to your child
Does your child suffers from any medical or psychological conditions that may require them to have additional levels of us? * †
*
Yes
No
† If you answer yes to this question it does not mean we will not accept your child, simply that we need more information to ensure that we have suitable families to meet your child's safeguarding needs. We will send you a Medical Information form for you to complete before we will review the application and consider if we are able to accept your enrolment.
Terms and Conditions & Payment
We have read and understood the Nico Consulting (Boarding Schools Ireland Guardianships) Ltd terms and conditions.
Would you like to paid the Guardianship fee
*
€3500 One payment (Paid in July 2026)
€1300 Termly Payments (July 2026, Dec 2026, March 2027)
Invoice Payees Name
*
First Name
Last Name
Invoice Payees Email
*
example@example.com
Registration Fee
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( X )
Registration Fee
€200.00
€
200.00
One off fee is non-refundable if the place is subsequently not taken up.
Enter coupon
Apply
Total
€0.00
€
0.00
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Expiration Year
Submit
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