• Surname Of Child*
  
  
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• First Name*
  
  

• Date Of Birth(yyyy-mm-dd)
  
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• Age Start Of School Year
  
  

Previous School Attended

• Class In Previous School
  
  
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• Class Requested
  
  
  

PARENT INFORMATION

Name Of Parent/Guardian

Email Of Parent/Guardian*

Residential Address

• Occupation
  
  
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• Telephone Number*
  
  

Office Address

MEDICAL RECORDS

Was your child/ward Vaccinated? Please Indicate vaccines recieved

• B.C.G
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• Triple Antigen
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• Polio
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• Measles
  
  

No. of Booster Doses

EXTRA INFORMATION

School provides transport to Festac, Satelite Town and Okota only would your child /ward go by the schools Bus?



Would you please furnish us with the following information in respect of your other child/children already in this school

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• Class
  
  
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• Date Joined
  
  
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• Relationship
  
  

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UNDERTAKING

If my child/ward should be ill or injured while he or she is in school. I agree that he or she should recieve medical treatment from the nearest approved medical centre at my expense.



Iparent(s)/Guardian ofHereby accept to abide by the conditions set out in the prospectus and assist the school staff

Submit Application