Student Registration Form

Section 1 - Student Information

Last Name*

First Name*

Middle Name

Student Gender*

MaleFemale

Date of birth*

Date

Age

at 1 Sept 2024

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 StatusRefugee or Asylum seekerDependent of Caymanian – Child Pending Caymanian Status/Parents with Caymanian StatusDependent of Caymanian – Parent married to a CaymanianDependent of Caymanian – Adopted by Caymanian ParentsDependent of Caymanian – Court Approved Caymanian Residence OrderDependent of Civil ServantDependent of Permanent ResidentDependent of Work Permit Holder

Attach Proof of Immigration Status*

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WORC Acknowledgement Letter (Caymanian), Caymanian Status Letter/Certificate, Government Issued Documents for Refugees/Asylum Seekers, RERC, Adoption Records, Civil Servant Contract, Permanent Residency Letter/Certificate, Work Permit. Relevant documents must note child as a 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'/Guardians' - Government ID, Utility Bill, Vehicle Log Book, Job letter, Lease Agreement

Upload Proof of Address #2*

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Different Proof from #1: Parents’/Guardians’ Government ID, Utility Bill, Vehicle Log Book, Job Letter, Lease Agreement.

Section 2 - Parents / Guardians

Primary Parent / Guardian Title*

Last Name*

First Name*

Relationship to Student*

Proof of Relationship to Student*

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Birth or Adoption Certificate or Court Order.

Primary Parent / Guardian Address*

Same As Student AboveDifferent Address

Primary Parent / Guardian House Number*

House Number

Primary Parent / Guardian 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 Issued Photo ID: Drivers Licence, Passport or Voter ID

Secondary Parent / Guardian Title

Secondary Parent / Guardian Last Name

Secondary Parent / Guardian First Name

Relationship to Student

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 AboveDifferent Address

Secondary Parent / Guardian House Number*

House Number

Secondary Parent / Guardian 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 Issued Photo ID: Drivers Licence, 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 Section 2 above, have parental responsibility of the child?*

YesNo

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