Registration

For a first time registration for admission please follow the steps given below:

Application

Please fill one form per child:

We would appreciate if you could fill in the registration form as accurately as possible. We will not be able to consider incomplete forms.

1School Year

2Student information

3Family and Guardian

4Child demographics

5Languages

6Food

7Child Health/Medical

8Registration details

School year for which student is being registered? *

2019-2020
2020-2021

First name (as on passport) *

Last name (as on passport) *

Nickname at home *

Date of Birth *

Gender *

City of Birth *

State of Birth *

Country of birth *

Siblings name

Siblings age

Siblings school name

Address street *

Area *

City *

State *

Pincode *

Home phone *

Previous play school/mother toddler program/school/crèche attended

How long did the child attend the educational facility ?

Mother First name (as on passport) *

Mother Last name (as on passport) *

Mother Home Phone *

Father Home Phone *

Mother Mobile phone *

Mother Email Address *

Mother Address: Street *

Mother Area: *

Mother City: *

Mother State *

Mother’s profession and workplace: *

Mother’s school name *

Mother’s college name *

Father First name (as on passport) *

Father Last name (as on passport) *

Father Home Phone *

Father Mobile phone *

Father Email Address *

Father address is the same as mother ? *

Father Address: Street *

Father Area: *

Father City: *

Father State *

Father’s profession and workplace: *

Father’s school name *

Father’s college name *

Guardian First name (another person looking after the child at home)

Guardian Last name

Guardian Home phone

Guardian Mobile phone

Guardian Email address

Guardian Address Street:

Guardian Area:

Guardian City:

Guardian State:

Child’s primary contact phone number:

Child’s primary contact Name

Child’s primary contact Relationship

Child’s secondary contact phone number:

Child’s secondary contact Name

Child’s secondary contact Relationship

Child’s Emergency contact Name

Child’s Emergency contact Phone number

Child’s Emergency contact Relationship

Nationality of the child *

Mother’s nationality *

Father’s nationality *

Religion *

Primary Language *

Primary Language spoken at home: *

Is there any other language spoken by your child, or in your home?

If yes which language does your child speak more fluently?

Mother speaks which language to the child ?

Father speaks which language to the child ?

Anyone else at home speaking another language, if yes which language ?

Does your child still drink milk ?

If yes, which milk ?

What quantity ?

Is your child: vegetarian or non-vegetarian or other ?

If other explain.

Primary Doctor Name

Primary Doctor Phone

Child covered by health Insurance Policy (yes/no)

Health Insurance Provider

Has your child any longstanding illnesses, emotional conditions, injuries or surgical procedures? (Yes/no)

If yes explain:

Date of First Polio Immunization:

Does your child routinely take prescribed medications ?

Any allergies (yes/no)

If yes, which allergies

Does you child wear glasses ? (Yes/no)

For children between 2 and 5 years old

Has your child experienced any difficulties in Speech?

For children between 2 and 5 years old

Has your child experienced any difficulties in Hearing?

For children between 2 and 5 years old

Has your child experienced any difficulties in Vision?

For children between 2 and 5 years old

Is your child potty trained? (Yes/no)

For children between 2 and 5 years old

How many months old was your child