St. John’s National School AS Class
Enrolment Application Form
Please complete all of this form, incomplete forms will not be accepted.
Child’s name: ___________________________________
Date of Birth: _____________________ Gender: ___________________
P.P.S No: _________________________
Religion: _________________________ Nationality: ________________
Any medical conditions that the school should be aware of: ______________________
Family Doctor: __________________________
Mother’s Name: _____________________________ Ph. No: ______________________
Mother’s Email: ______________________________
Father’s Name _______________________________ Ph. No: ______________________
Father’s Email: _______________________________
Contact Name & phone No. in case of emergencies, (This number must be different from parents)
Name: _____________________________________ Ph. No: _________________________
Please state name and address of previous School, and class your child would be going into if they are changing schools: _____________________________________________________________
Parents/Guardians Signature: _______________________ ______________________________
Please ensure the following are enclosed with this Application form.
- Original Birth Certificate and a photocopy.
- Two Original documents, as proof of address within the catchment area example: Utility Bills (these must be dated within the last 3 months of application.)
- A copy of all Psychiatric and/or Psychological Assessments and reports your child has received.