Entry №: ...... Starting date:

ST. GEORGE PRESCHOOL –ADMISSION APPLICATION

INFORMATION ABOUT THE CHILD

Name: / PIN:
Middle name: / Date of Birth:
Surname:
Place of Birth (town/country): / Age:
Sex: BoyGirl
Nationality: / Mother tongue:
Preferred name: Do your child know a foreign language: YesNo
Correspondence address:

INFORMATION ABOUT THE PARENTS

Mother / Father
Name: / Name:
Middle name: / Middle name:
Surname: / Surname:
Date of Birth:
PIN:
ID No:
Date of issue: / Date of Birth:
PIN:
ID No:
Date of issue:
Nationality: / Nationality:
* Phone number: / * Phone number:
* Еmail: / * Еmail:
Employer:
Position: / Employer:
Position:
Address as per ID:
Correspondence address: / Address as per ID:
Correspondence address:

Preferred email addresses for receiving information from the School:

Preferred email addresses for receiving information from Accounting Department:

Contact person in case of emergency:

Phone number in case of emergency:

PARENTS’ CHOICE

Visits:20 full-days per month20 part-days per month12 full-days per month12 part-days per month / Preferred starting date:

QUESTIONNAIRE

Height: / Weight:

Whom lives the Child with?

Mother: YesNo / Sisters:
Father:YesNo / Brother:

Does anyone else look after the Child?

Does/did the Child suffer from:

Vision impairment or eye infection? / NoYes
Hearing impairment or ear infection? / NoYes
Speech disorder? / NoYes
Does your Child have specific difficulties? / No Yes

Does your Child:

Have their own room? YesNo
Watch television?YesNo
What type of TV shows?
How often?

Play with other kids?

Can go to the WC on their own?

Give signals that they want to go to the WC?

Need help get dressed?

Need help get undressed?

Have favourite songs?

Have favourite games?

Have favourite toys or teddy bear?

Is your Child allergic to anything? / YesNo
Does your Child follow a diet plan? / YesNo

Please, provide all required information on the marital status:

Deceased father / NoYes
Deceased mother / NoYes
Separated parents / NoYes
Divorced parents / NoYes
Remarried father / NoYes
Remarried mother / NoYes
Guardian
Adopted Child / NoYes

Schools/Kindergarten attended by the applicant before their application at St. George International School & Preschool:

Institution (1): / Institution(2):
Town: / Town:
Address: / Address:
Attended from to / Attended from to
Phone number: / Phone number:
Reason for leaving: / Reasons for leaving:

INFORMATION ABOUT SIBLINGS

Name: / Age: / School/Kindergarten:
Name: / Age: / School/Kindergarten:
Name: / Age: / School/Kindergarten:
Name: / Age: / School/Kindergarten:

ADDITIONAL INFORMATION

Additional information that will help us get to know the Child better:

Name day of the Child: Date Holiday
Name day of the mother: Date Holiday
Name day of the father: Date Holiday

Full name of the Child in latin:

Where did you gain information about St. George International Preschool and why did you apply for admission?

Preferred method of payment of the Tuition fee: 1 installmentmonthly installments
Type of food menu: Standard menuVegetarian menu
* When paying 1 installment for the next academic year until June 30tha discount of 5% applies.

Date: ......
/Name, surname, signature /

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