For your convenience you may complete your child's application online. You may also choose to download, print and return your application to us at the location nearest to you. Apply! Your email address will not be published. Required fields are marked * Section 1 First Name Middle Name Last Name DOB Street City Gender Male Female Photo Birth Certificate Health Records Section 2 Mother's Information Mother's First Name Mother's Middle Name Mother's Last Name Mother's Home Phone Mother's Mobile Place of Employment Mother's Occupation Mother's Business Phone Mother's Email Section 3 Father's Information Father's First Name Father's Middle Name Father's Last Name Father's Home Phone Father's Mobile Place of Employment Father's Occupation Father's Business Phone Father's Email Student lives with: Mother Father Both Other Guardian's Name Section 4 Emergency Contact Information First Name Middle Name Last Name Home Phone Mobile Phone Place of Employment Occupation Business Phone Email Section 5 Proposed Start Date Christmas Easter Summer Term Year and Location Proposed Start Year 2021202220232024202520262027202820292030 Kingston Montego Bay Section 6 Language(s) spoken at home Section 7 Indicate any medical problems by selecting the appropriate condition (select all that apply) Respiratory ailments Asthma Chest problems Heart problems Bladder problems Migraine/ headaches Gastric problems Sting allergy Nut allergy Lactose intolerance Hay fever Vision impairment Hearing impairment Mobility ailment Diabetes Sickle Cell Epilepsy Kidney complaints Skin complaints None ‘Other’ health complaints/problems ‘Other’ description and any additional medical data Description of steps to be taken in the event of a medical emergency Please note that any medication to be administered during school hours must be accompanied with a signed note, outlining dosage instructions, time to be administered, etc. These forms are available at the front desk. Special Dietary Needs: Paediatrician’s Name Paediatrician’s Phone Paediatrician’s Mobile Section 8 Additional Information Has your child ever been a recipient of a special services program? Visual or Hearing Treatment Physical Therapy Speech Therapy Behaviour Therapy None Other (please describe) Section 9 School (s) / Programme (s) attending PARTICIPATION WAIVER As with any activity I understand that there may be risk of injury or harm. I agree to be responsible for any medical expenses incurred by my child(ren) while participating in sessions. I agree to hold the staff and volunteers of Fundaciones Limited, and their families, harmless from, and indemnify them for, any damage or loss arising as a result of my child(ren)’s participation in activities. Captcha Code : hAWAl