Elementary School Admission Form

Elementary School Admission Form

Please fill out this form to apply for your child's admission.

Student Information

Name

    Date of Birth

      Gender

        • Male

        • Female

        Address

          Parent/Guardian Information

          Name

            Relationship to Student

              Phone number

                Email

                  Previous School Information (if applicable)

                  Name of Previous School

                    School Address

                      Grade Last Completed

                        Emergency Contact Information

                        Name

                          Relationship to Student

                            Phone number

                              Medical Information

                              Does the student have any allergies or medical conditions?

                              If yes, please provide details:

                              Signature

                              Name:

                              Date:

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