Student Registration Form

Section 1 - Student Information

Last Name *

First Name *

Middle Name

Student Gender *

Male Female

Date of birth *

Date

Age

at 1 Sept 2020

1 Sept Date

Date

Please select the Year Group your child will be entering *

Previous Years Report / Transcript *

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Country of Birth *

Birth / Adoption Certificate (Long Version) *

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Immunization Records *

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Student Medical

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Immigration Status *

Caymanian or Caymanian Status Dependent of Permanent Resident Dependent of Civil Servant

Attach Proof of Immigration Status *

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Caymanian Parent Birth Certificate, Caymanian Status Letter/Certificate, Permanent Residency Letter/Certificate or Civil Servant Contract noting child as dependent. Other supporting documents may be considered.

Student House Number *

House Number

Student Home Address *

Physical Street Address

Student Home District *

PO Box *

Postal Code *

Upload Proof of Address #1 *

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Parents - Drivers license, Utility bill, Vehicle, logbook, Job letter, or Government ID

Upload Proof of Address #2 *

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Parents - Drivers license, Utility bill, Vehicle, logbook, Job letter, or Government ID

Section 2 - Parents / Guardians

Primary Parent Title *

Last Name *

First Name *

Relationship to Student *

Mother Father Grandmother Grandfather

Proof of Relationship to Student *

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Birth or Adoption Certificate or Court Order.

Primary Parent/ Guardian Address *

Same As Student Above Different Address

Primary Parent House Number *

House Number

Primary Parent Home Address *

Physical Street Address

Home District *

PO Box *

Postal Code *

Cellular *

Work Phone

Home Phone

Email *

example@example.com

Upload Photo Identification *

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Must be a valid Government Issues photo ID, Drivers License, Passport, or Voter ID

Secondary Parent Title

Secondary Parent/ Guardian Last Name

Secondary Parent/ Guardian First Name

Relationship to Student

Mother Father Grandmother Grandfather

Proof of Relationship to Student

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Birth or Adoption Certificate or Court Order.

Secondary Parent/ Guardian Address

Same As Primary Parent /Guardian Above Different Address

Secondary Parent House Number *

House Number

Secondary Parent Home Address *

Physical Street Address

Home District *

PO Box *

Postal Code *

Cellular

Work Phone

Home Phone

Email

example@example.com

Upload Photo Identification

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Must be a valid Government Issues photo ID, Drivers License, Passport, or Voter ID

Section 3 - Emergency Contact Information

Different from Parents/ Guardians

Emergency Contact Last Name *

Emergency Contact First Name *

Telephone *

Email *

example@example.com

Emergency Contact Last Name

Emergency Contact First Name

Telephone

Email

example@example.com

Section 4 - Parental Responsibility / Legal Custody

Do the Primary & Secondary Parents / Guardians named in #2 above have parental responsibility of the child? *

Yes No

Please upload stamped and sealed Court documents showing who has parental responsibility

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Section 5 - Siblings

List Brothers or Sisters enrolled in Cayman Islands Government Schools

Last Name

First Name

School

Year

Last Name

First Name

School

Year

Last Name

First Name

School

Year

Student Registration Form

Section 1 - Student Information

Section 2 - Parents / Guardians

Section 3 - Emergency Contact Information

Section 4 - Parental Responsibility / Legal Custody

Section 5 - Siblings

Section 6 - Student History

Section 7 - Previous Schools Attended

Section 8 - Information Verification Statement