Scribd
Upload
69 views3 pages

Registration Form

The document is a registration form for Lemmy's Court International School, requiring personal, medical, and contact information for students and their guardians. It emphasizes the importance of providing accurate details, especially regarding medical conditions and emergency contacts, to ensure student safety and well-being. The form also includes sections for school administration use, including admission status and signatures from school officials.

Uploaded by

Jeffrey Sackitey Charnor
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
69 views3 pages

Registration Form

The document is a registration form for Lemmy's Court International School, requiring personal, medical, and contact information for students and their guardians. It emphasizes the importance of providing accurate details, especially regarding medical conditions and emergency contacts, to ensure student safety and well-being. The form also includes sections for school administration use, including admission status and signatures from school officials.

Uploaded by

Jeffrey Sackitey Charnor
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 3

LEMMY’S COURT INTERNATIONAL SCHOOL

ADDRESS: P.O.Box cs 8998


Location: Afienya, Rice city
Telephone: 0244204905

REGISTRATION FORM
Application Submission Date: Passport Picture

Date of Commencement: __ __ /__ __/__ __ Grade Entering: ______

Student Information
PERSONAL DETAILS:
Student Name: (Order: Last name, first name, and other names)
_______________________________________________________

Date of Birth: Place of Birth: ______________________________

Mother Tongue: Religion: __________________________________

House Address: Nationality: ________________________________

Other Languages spoken:_______________________________________________________________

Previous School Attended (please provide a copy of certificate):________________________________


____________________________________________________________________________________

Location: Class: ___________________________________

Medical Information
Does your ward any medical condition we need to be aware of?

No Yes

If yes, please specify: __________________________________________________________________


____________________________________________________________________________________

Note: Please provide accurate and complete information about your child’s medical conditions (e.g.,
asthma, allergies, diabetes, epilepsy, etc.) that may affect their participation in school activities or
require special care. This helps the school ensure your child’s safety and well-being.
Parent or Guardian Contact Information

Parent/ Guardian name: ________________________________________________________________

Home phone: ___________________________ Work phone: _________________________________

Residential Address: _____________________ WhatsApp number: ____________________________

E-mail: _______________________________ Employer: ___________________________________

Emergency Contact name: ______________________________________________________________

Emergency contact number: ______________________ Alternate phone:________________________

NOTE: We kindly ask that you review the information provided on this registration form
carefully before submission. Accurate and complete details especially regarding your child’s
medical history, emergency contacts, and special needs are essential for us to provide a safe,
supportive, and responsive learning environment. All information shared will be treated with
the strictest confidentiality and used solely for educational, health, and administrative
purposes. Should there be any changes in your child’s health, contact information, or family
circumstances during the school year, it is your responsibility to notify the school promptly. By
signing this form, you confirm that the information provided is true and correct to the best of
your knowledge. Your cooperation is greatly appreciated in helping us care for and support
your child throughout their time at school.

Office Use only

Student Name: (Order: last name, first name, other names)


_______________________________________________________________________________

Guardian Name: (Order: last name, first name, and other names)
TYPE PERSONAL NAME
_______________________________________________________________________________

Admission number: _______________ Admission Granted? Yes No

Date of Admission: __ __/__ __/__ __ __ __

Administrator Signature: Director Signature

_____________________ ______________________
TYPE PERSONAL NAME

You might also like