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Free 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
II. Parent/Guardian Information
Name
Relationship to Student
Phone number
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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