Child's Full Name *

Gender *
 Male Female

D.O.B *

Child's Address *

NB! The system is compatible with the following file types; .jpg / .png / .pdf

Child's photo **

Copy of child's birth certificate **

Copy of health records **

Your Full Name *

Your Email *

Telephone *

Relation to child *

Your Home Address *

Occupation

Work Address

Full name

Relation to child

Email

Telephone

Address

Occupation

Work Address

List all known ailments

Steps to be taken in case of emergency

Special Dietary Needs

Doctor's Name

Doctor's Telephone

Doctor's Address

Location *
KingstonMontego Bay

Language (s) spoken at home *

Additional Information / Comments

Parent/Guardian's Name *

Parent/Guardian's Email*

Parent/Guardian's Telephone *

Relation to child *

I am registering in *
KingstonMontego bay

Student's Name *

Student's Date of Birth *

Student's Address *

Known allergies / disabilities:

All medication/s the child will be taking during class hours

Include full instructions as to time and dosage of each

What I hope my child will learn from this programme

Payment

Please make payment via cash, cheque, credit/debit card or account transfer.

I will pay:
 Monthly By the term

If monthly, payment must be received on the last day of our billing cycle, the 25th of each month.