Enrollment

  • Student’s Name: *
  • Age: *
    Sex: *
  • Birth Date: *
  • Address: *
  • Father’s Name: *
  • Occupation: *
  • Email Address: *
  • Home Phone: *
  • Office Phone: *
  • Mobile #: *
  • Mother’s: *
  • Occupation: *
  • Email Address: *
  • Home Phone: *
  • Office Phone: *
  • Mobile #: *
  • Name of Permanent Guardian: *
  • Email Address: *
  • Home Phone: *
  • Office Phone: *
  • Mobile #: *
  • Siblings:
  • Name:    Age:
  • Name:    Age:
  • Name:    Age:
  • Name:    Age:
  • Name:    Age:
  • Any preschool experience other than ECEC? *        
  • Any Particular Academic or Extra Curricular interest you may have observed? *
  • Any relevant medical information that we need to know about? *
  • Any Special Education Needs officially diagnosed we need to know about? *
  • Name of Pediatrician: *
  • Any Special Dietary considerations we need to know about? *
  • Does he/she have any history of allergy? *        


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