Portsmouth Primary Application Form

First NameMiddle NameLast Name

Do we have your permission to make contact with this school's administration about your child/ward ? If yes, please provide the required information below.

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Area CodePhone Number

If self-employed or retired, please state below :

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Area CodePhone Number

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Area CodePhone Number

If self-employed or retired, please state below :

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Area CodePhone Number

Please note that in the case of an emergency, the parents will be called first. If no contact can be established with either parent, the school will make contact with the emergency contacts listed below in order of their names.

Write a brief statement on the extent of the your child/ward's involvement in extra/co-cirricular activities.

State any notable accomplishments in the respective discipline/co-cirricular activity e.g. special awards or positions held.

APPLICATION INFORMATION

ENTRANCE INFORMATION

STUDENT INFORMATION : PERSONAL

Nationality

Past School Information

Parents Data

Father's Information

Mother's Information

Emergency Contact Information

Grade Collection

Extra/Co-Cirricular Activities