Registration Form

APPLICANT INFORMATION

GENDER

FATHER'S INFORMATION

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MOTHER'S INFORMATION

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GUARDIANS & EMERGENCY CONTACT INFORMATION

STUDENT LIVES WITH

OTHER INFORMATION

LANGUAGE AT HOME

HEALTH INFORMATION

HISTORY OF ILLNESS
HAS THE CHILD BEEN UNDER A DOCTOR’S CARE IN THE PAST 12 MONTHS?
HAS THE CHILD BEEN HOSPITALIZED IN LAST 12 MONTHS?
DOES THE CHILD HAVE ASTHMA?
HAS THE CHILD BEEN UNDER A DOCTOR’S CARE IN THE PAST 12 MONTHS?
DOES HE/SHE USE INHALER?
HISTORY OF IMMUNIZATION
Polio
DPT
MEASLES
HEPATITIS B
BCG
MMR
ALLERGIES
IS THE CHILD ALLERGIC TO ANY MEDICINE?
IS THE CHILD ALLERGIC TO ANY FOOD?
IS THE CHILD ALLERGIC TO ANY PRODUCT?

SCHOOL SERVICES

DO YOU WANT TO JOIN SCHOOL PICK & DROP SERVICE?
DDO YOU WANT TO JOIN SCHOOL CATERING SERVICE?

MEDIA CONSENT FORM

AS A PARENT / GUARDIAN OF
I HEREBY GIVE CONSENT TO THE USE OF PHOTOGRAPHS/VIDEOS TAKEN DURING THE COURSE OF THE SCHOOL YEAR FOR PUBLICITY, PROMOTIONAL AND/OR EDUCATII GIVE CONSENT TO MILLENNIA WORLD SCHOOL TO PHOTOGRAPH OR VIDEO MY CHILD FOR SCHOOL PURPOSES AND/OR AT SCHOOL EVENTS AND USE THESE PHOTOGRAPHS OR VIDEO CONTENTONAL PURPOSES (INCLUDING PUBLICATIONS, PRESENTATION OR BROADCAST VIA NEWSPAPER, INTERNET OR OTHER MEDIA SOURCES). I DO THIS WITH FULL KNOWLEDGE AND CONSENT AND WAIVE ALL CLAIMS FOR COMPENSATION FOR USE, OR FOR DAMAGES.
I GIVE CONSENT TO MILLENNIA WORLD SCHOOL TO PHOTOGRAPH OR VIDEO MY CHILD FOR SCHOOL PURPOSES AND/OR AT SCHOOL EVENTS AND USE THESE PHOTOGRAPHS OR VIDEO CONTENT.

PARENTAL CONSENT

WE (UNDERSIGNED) ARE PARENTS / GUARDIANS OF APPLICANT:
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1. FULLY ENTRUST OUR CHILD/CHILDREN TO THE TEACHERS OF MILLENNIA WORLD SCHOOL.
2. WILLING TO WORK TOGETHER WITH SCHOOL IN DEVELOPING ALL ASPECT OF OUR CHILDREN.
3. WILLING TO FULLY COMPLY WITH ALL THE CODES OF CONDUCT AND SUPPORT ALL DECISIONS AND PROGRAMS OF THE SCHOOL.
4. WILLING TO PAY THE SCHOOL FEE ACCORDING TO THE TERMS OF MILLENNIA WORLD SCHOOL.
5. HAVE READ ALL TERMS AND CONDITIONS OF PAYMENT REGULATIONS ALONG WITH TERMS AND CONDITIONS OF BASE PAYMENT RETURNS AND HAVE ACCEPTED THEM.
6. WILLING TO COMPLY WITH RECOMMENDATION AND REQUEST BY THE SCHOOL, IF AT ANY TIME THE SCHOOL STATES THAT WE (UNDERSIGNED) NEED CONSULTATION FROM AN EXTERNAL EXPERT.
7. WILLING TO GIVE TRUTHFUL INFORMATION AND HAVE COMPLETED ALL CONDITIONS OF APPLICANT.
8. WILLING TO ACTIVELY PARTICIPATE IN LEARNING OF OUR CHILD/CHILDREN, INCLUDING DIFFICULTY IN LEARNINGS.
9. WILLING TO ACTIVELY PARTICIPATE IN ACTIVITIES ORGANIZED BY THE SCHOOL, INCLUDING PARTICIPATING IN SCHOOL COMMITTEE MEETINGS AND SCHOOL EVENTS.
10. IF AT ANY TIME AN ACCIDENT OCCURS, WE FULLY TRUST OUR CHILD TO BE GIVEN FIRST AID AND UNDERSTAND THAT IF THE CHILD NEEDS TO BE TAKEN TO THE HOSPITAL, ALL HOSPITAL COSTS WILL BE RESPONSIBILITY OF THE PARENTS.
11. WILLING TO SUPPORT ALL RULES AND REGULATIONS OF MILLENNIA WORLD SCHOOL INCLUDING ACCEPTING STUDENTS WITH SPECIAL NEEDS.
12. WILLING TO TREAT TEACHERS AS PARALLEL PARTNERS, MUTUALLY RESPECTED IN EDUCATING OUR CHILD.
13. IF AT ANY TIME THERE ARE ANY DIFFERENCES WITH MILLENNIA WORLD SCHOOL, ALL ISSUES WILL BE RESOLVED BY DELIBERATING CONSENSUS.

ALL OF THESE STATEMENTS HAVE BEEN READ, UNDERSTOOD AND CONSENTED TO: