WILLS PRIMARY SCHOOL REGISTRATION FORM
Date of Entry: ____________ Registration Fee:_______________
NAME: __________________________________________________
ADDRESS: _______________________________________________
_________________________________________________________
DATE OF BIRTH: ___M ___D _____Y GENDER: ___ M ___ F
COUNTRY OF BIRTH: _____________ NATIONALITY: __________
ALLERGIES: ______________________________________________
OTHER MEDICAL CONDITIONS: ____________________________
TREATMENTS: ____________________________________________
MOTHER’S NAME: ________________________________________
ADDRESS: ________________________________________________
TELEPHONE NUMBER: __________H ___________W __________C
EMAIL ADDRESS: _________________________________________
OCCUPATION: ____________________________________________
NAME AND ADDRESS OF COMPANY: ________________________
__________________________________________________________
FATHER’S NAME: __________________________________________
ADDRESS: _________________________________________________
TELEPHONE NUMBER: ___________H ___________ W _________C
EMAIL ADDRESS: __________________________________________
OCCUPATION: _____________________________________________
NAME AND ADDRESS OF COMPANY: ________________________
__________________________________________________________
EMERGENCY CONTACT
(OTHER THAN PARENTS OR GAURDAINS)
NAME: __________________________________________________
ADDRESS: _______________________________________________
TELEPHONE NUMBER: __________ H ___________ W __________C
EMERGENCY CLEARANCE
In case of an emergency in which you cannot be reached, do you
give permission to the Principals and teachers of WPS to take your
child to a doctor/hospital? _________
NAME OF INSURANCE COMPANY: _________________________
How long will your child be attending WPS? _____________________
CONTRACT AGREEMENT
I, ________________________________________, herby agree to
all the policies and regulations set forth by Wills Primary School.
I agree to pay school fees within the first week of the school term.
I will give a FULL TERM’S NOTICE, approximately 12 weeks, in
writing, to the school or a term’s fee in lieu of notice, if I no
longer require a space for my childin this school.
I understand that payment outstanding at the end of the
term (i.e. after 12 weeks) may be turned over to Collectors.
The debtor (parent/guardian) will be liable for the Collector’s
fee (25%) in addition to the debt, as well as any legal fees incurred.
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SIGNATURE OF PARENT DATE
N.B. This form must be completed in full.
