Registration Form

Name: *

Date of Birth: *

Day

Month

Year

Age: *

Sex: *

Nationality: *

Home Telephone:

Address: *

Present Educational Standard: Pre-School/Pri/Sec *

Enrichment classes/Tuition registered for *

MEDICAL HISTORY

Medical Conditions/Allergies

Learning Disabilities (If Any)

How did you find out about us?

MOTHER’S/FATHER’S/GUARDIAN’S PARTICULARS

Name: *

Mobile Number *

Email Address: *

Occupation: *

EMERGENCY INFORMATION

Name: *

Contact Number: *

Relationship to the Child: *

Authorisation *

I have read the Rules and Regulations and the Medical Authorisation Form set forth by the school and agree to adhere to them.

What code is in the image? *

Enter the characters shown in the image.

You are here