Flourish Court Admission Form
Information Of The Child:
Academic Year *
2023/2024[2023/24 SESSION]
2024/2024[2023/2024 Third Time]
Class *
admission_number
*
First Name
*
Last Name
*
Middle Name (optional)
Date Of Birth
*
Religion *
Islam
Christian
Email Address
*
Gender *
Male
Female
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Class *
Section *
Sibling *
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PARENTS & GUARDIAN INFO
Relationship with student
*
--select option--
Parent
Father
Mother
Guardian
Father Name
Occupation
Father Phone
Email Address
Mother Name
Occupation
Mother Phone
Email Address
Guardians Name
Guardian Occupation
Guardians Phone
Guardians Email
Emergency Phone Number
*
I give permission for my child's picture to be used for class projects/website
Student Address Info
Current Address
*
Permanent Address
*
Medical Details
Family Doctor Name
(optional)
Family Health Issurance
(optional)
Family Doctor Phone
(optional)
Health Conditions
*
Select Health
Seaizure/Epilesy
Fainting
Diabetes
Blood Pressure
Asthma
Allergies
Constant High Temperature
Others
None
Blood Group
Blood Group
A+
O+
B+
AB+
A-
O-
B-
AB-
Is Your Child On Any Prescribed Medication?
*
Yes
No
Is the School allowed to administer the medication?
Yes
No
if there is any other information regarding your child's well being
(optional)
TERMS AND CONDITIONS: I have read the school's terms and conditions surrounding the admission which I seek for my child at Flourish Court School. I shall endeavour to comply.
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