School Enrollment Form

School Enrollment Form

Student Information

Full Name

    Date of Birth

      Gender

        • Male

        • Female

        Address

          Phone number

            Email

              Parent/Guardian Information

              Name

                Relationship to Student

                  Phone number

                    Email

                      Address

                        Academic History

                        Previous School(s) Attended

                          Grade Level Completed

                            Medical Information

                            Does your child have any known allergies? (Please specify the type of allergy and any reactions experienced.)

                              Does your child have any chronic medical conditions or ongoing health issues? (If yes, please describe.)

                                Does your child take any regular medications? (If yes, please provide the name of the medication, dosage, and reason for use.)

                                  In case of a medical emergency, do you grant permission for school staff to seek medical treatment for your child?

                                  Consent Statements

                                  By signing below, I give permission for my child to participate in school-sponsored field trips and related activities. I also consent to the use of my child's image and name in school publications and media releases. Additionally, I acknowledge that I have read and understood the school policies and procedures provided in the enrollment packet.

                                  Name:

                                  Date:

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