Parent / Guardian Full Name *

First Name

Last Name

Relationship with Child *

Select your relation to the child

Father

Mother

Guardian

Other

Parent / Guardian Telephone Number *

(###)

###

####

Student Full Name *

First Name

Last Name

Date Of Birth *

Enter the year your child was born

MM

DD

YYYY

Gender *

Enter your child's gender below

Male

Female

Grade *

Which grade is your child applying for

PP1 & PP2

Lower Primary

Upper Primary

Junior High School

Preferred Start Date/ Term *

MM

DD

YYYY

Declaration *

I confirm that the information provided is accurate and correct

Yes

No

Consent *

I consent to the school contacting me regarding this application

Yes

No