ANANDAMARGAKINDER-PREPSCHOOL
12 Crieffe Road, Kingston 6. Jamaica.
Telephone # 978-0848/927-8969.
STUDENTS REGISTRATION RECORD
(PLEASE PRINT CLEARLY BY USING BLOCK CAPITAL LETTERS)
APPLICATION IS HEREBY MADE FOR THE REGISTRATION OF(STUDENTS)
…………………………………………………………………………………………
FIRSTNAME MIDDLENAME LASTNAME
DATE OF BIRTH …………………………PLACE OF BIRTH …………………….
BIRTH CERTIFICATE # …………………………. DATE OF LAST IMMUNIZATION ……………
SEX: - MALE/FEMALE. NATIONALITY ………………………………..
FATHER’S NAME ………………………………...OCCUPATION …………………………………..
MOTHER’S NAME ……………………………….OCCUPATION …………………………………..
IF CHILD LIVES WITH GUARDIAN:
GUARDIAN’S NAME …………………………… OCCUPATION …………………………………..
NAME OF EMERGENCY CONTACT ……………………………………………..TEL: #………………..
TO WHOM SHOULD LETTERS, etc. FROM SCHOOL BE SENT? ………………………………..
Parent(s)/ Guardian(s)
Home Address: - Employment Address:-
(With plot &House/Gate #)
...... ……………………………………………
…………………………………………… ………………………………………......
Tele. Nos. (HOME)…………………………… (WORK) …………………………….. (CELL) ……………………………
N.B. Not Friend’s/Relatives.
DOES HE/SHE HAVE ANY BROTHERS OR SISTERS ATTENDING THIS SCHOOL? (Yes/No) IF YES PLEASE STATE …………………………………………………………………….
INTEREST OR HOBBY OF CHILD …………………………………………………
CLASS INTO WHICH ADMISSION IS SOUGHT …………………………………
NAME & TELEPHONE # OF STUDENT’S LASTSCHOOL ATTENDED:-
………………………………………………………………………………………..
DOES HE /SHE HEARS WELL? ……………….. SEES WELL? …………………..
DOES CHILD HAS ANY PHYSICAL DISABILITY? (YES/NO)
IF YES PLEASE STATE ………………………………………………………………………………..
DOES CHILD SUFFERS FROM ANY ILLNESS (i.s. Asthama, Heart problem,Nervous Disorders, Allergies, Hepatitis B, Diabetes etc or any other illnesses)? (Yes/No)
IF YES PLEASE STATE ………………………………………………………………………………..
HAS CHILD SUFFERED ANY RECENT INJURY OR ILLNESS? (Yes/No)
IF YES PLEASE STATE ………………………………………………………………………………..
HAS HE/SHE BEEN A VICTIM OF POLIO? (Yes/No)
TO THE PRINCIPAL:
I…………………………………………… state that the above mentioned particulars are correct & true and make application for the Registrationof my son/daughter/ward to the above named school. I agree to abide by all the rules and regulations established by the school authority. I further agree to give a full terms (Nursery to Grade 6) notice inwriting,when my child/ward is leaving the school before completion of the GSAT Examination, to get Recommendation or I will pay a full term’s school fee in lieu of notice, give promptly the changes of Address & Telephone # etc. also confirm receipt of a copy of the School Prospectus.
……………………………….. ………………….....
Signature of Parent/Guardian Date of Application
FOR OFFICEAL USE ONLY
DATE OF ADMISSION TEST ………………………………………………………
RESULT OF TEST …………………………………………………………………...
FITS FOR GRADE……………………. HOUSE …………………………………….
DATE ……………………………. ………………………………….
Signature of the Head Teacher
COMMENTS
DATE ……………………………. ……………………………
Signature of the Principal
LEAVES INSTITUTION ……………………………………………………………
RETURNS ……………………………………………………………………………
GRADUATES ……………………………………………………………………….
N.B. REQUIRED AT THE TIME OF REGISTRATION-
- TWO (2) RECENT PASSPORT SIZE PICTURES. PROOF OF ADDRESS.
- PHOTOCOPY OF BIRTH CERTIFICATE AND IMMUNIZATION CARD ( Original to be presented for verification)
- A MEDICAL EXAMINATION CERTIFICATE IS REQUIRED FOR ALL STUDENTS
- NON- REFUNDABLE REGISTRATION FEE.
- BANK VOUCHER (For deposit of school fees to bank).
- PROGRESS REPORT and RECOMMENDATION FROM LASTSCHOOL.
- NON- REFUNDABLE CASH DEPOSIT FOR P.E.GEAR, CREST, KARATE UNIFORM AND MISCE. FEES FOR SCHOOL YEAR etc (Condition apply).
- G5 & G6: - Literacy..And Numeracy. Result by MOE
IDENTIFICATION REQUIRED FOR PARENT(S)/GUARDIAN(S)any twoofthe following three with aPASSPORT.
- EMPLOYMENT I.D. CARD
- NATIONAL I.D. CARD
- DRIVERS LICENSE
(Original to be presented for verification)
ATTENTION: - IF YOUR CHILD/RENIS/ARE PRESENT IN SCHOOL ONE DAY IN A TERM, SCHOOL FEES WILL BE CHARGABLE FOR THE TERM. REGISTRATION FEES INCLUDING MISCELLANEOUS FEE ARE NOT VALID WITH IN SEVEN (7) DAYS AFTER CHILD/REN IS/ARE REGISTRATER WITHOUT RELIVANT PAPERS.
ADDITIONAL INFORMATION FOR DAY-CARE CENTRE
ADDITIONAL CONTACTS: (Relatives, Guardians and/or Friends)
- Name: ------Home & Work Add. ------Tel. # …………………. Cell # ………………………
Relationship to child …………………………………………………………………
- Name: ------Home & Work Add. ------Tel. # …………………. Cell # ………………………
Relationship to child …………………………………………………………………
Name of person collecting child from school if differs from above (i.e. Parent/Relatives /Guardians and/or Friends): ------
------
N.B PLEASE NOTIFIES THE SCHOOL, IF ANY CHANGES OCCUR IN THE ABOVE.SCHOOL CLOSES AT 6.00 P.M.
ARTICLES REQUIRED FOR BABIES
1 BODY RAG,1 FACE RAG, 2 TOWELS OR RECEIVING BLANKETS, 3 SETS OF CLOTHES, 1 SWEATER & CAP (FOR COLD WEATHER),4 DIAPER SHIRTS, 6 DISPOSABLE DIAPERS,1 PLASTIC BAG FOR SOILED CLOTHING, 1 JAR VASELINE/ZINC OXIDE/ DESITIN/OTHER, 1 POWDER, 1 COMB AND BRUSH, 1 TIN FORMULA FEEDING,1 BOTTLE WITH MIXED FEED, 1 BOTTLE WITH JUICE, 1 BOTTLE BOILED WATER (COOLED), 3 STERILIZED BOTTLES, BABY WIPES.
PLEASE LABELCLEARLY AT ALLTIMES WITH CHILDS NAME. PLEASE CHECK TO SEE THAT ALL ITEMS BELONGING TO YOU (INCLUDING MEDICINES) ARE RETURNED TO YOU AT THE END OF EACH DAY. REPORT TO THE CAREGIVERS IMMEDIATELY OF ANY MISSING ARTICLE(S). JEWELERY (MINIMUM) MAY BE WORN AT PARENT’S RISK.
$100.00 WILL BE REQUIRED FOR BATH SOAP& FACIAL TISSUE PER MONTH.
You are required to give one (1) months written notice of your intention to temporarily or permanently withdraw your child.
A medical certificate of fitness is required for absenteeism of three(3) or more days.
I ------have read and understood the above and will comply.
------
Signature of Parent Date
------
Witness Date