APPLICATION FOR ADMISSION & ENROLLMENT AGREEMENT

 

Student #1 Name:
Gender:
Entering Grade:
Date of Birth:
Student #2 Name:
Gender:
Entering Grade:
Date of Birth:
Student #3 Name:
Gender:
Entering Grade:
Date of Birth:
Mailing Address:   Date of Application:   Home Address:   Home Phone:   Father’s/Guardian's Name: Employer:   Contact Number/s:     Email:     Mother’s/Guardian's Name: Employer:   Contact Number/s:     Email:
*Please contact the school at 565-5128/3822 to register more than three students. Si Yu’os Ma’ase!