School Registration Form

School Registration Form

Please fill out the details below to register for the upcoming school year.

I. Student Information

Name

    Date of Birth

      Gender

        • Male

        • Female

        Grade Level Applying For

        Address

        Phone number

          Email

            II. Parent/Guardian Information

            Name

            Relationship to Student

            Phone number

              Email

                III. Emergency Contact Information

                Name

                Relationship to Student

                Phone number

                  IV. Medical Information

                  Does the student have any health conditions or allergies?

                    • Yes

                    • No

                    If yes, please specify.

                    Is the student currently taking any medications?

                      • Yes

                      • No

                      If yes, please specify.

                        V. Previous School Information

                        School Name

                        School Address

                        Last Grade Completed

                        Reason for Transfer (if applicable)

                        VI. Academic History

                        Does the student have any special education needs? If yes, please specify.

                          Extracurricular Activities:

                            Upload Required Documents:

                            (Birth Certificate, Immunization Records, Previous School Records/Transcripts, Proof of Residence)

                              I hereby declare that the information provided is true and accurate to the best of my knowledge.

                              Name:

                              Date:

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