ORANGE BAY PREPARATORY & KINDERGARTEN SCHOOL
Wharf Road, Orange Bay, Santoy P.A., Hanover Tel:876.609.1057/876.423.1893/876.457-1339 Email: orangebaypreparatory@gmail.com
STUDENT ADMISSION FORM
In order to serve you better we have designed this form to capture as much information as possible about your child. Please fill in all relevant data. The information provided here will be kept in the strictest confidence.
REFERENCE NUMBER
THIS WILL BE GIVEN BY THE SCHOOL
BASIC DEMOGRAPHIC INFORMATION
Student Name
*
First Name
Middle Name
Last Name
Birth Date
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
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31
Day
Please select a year
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
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1931
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1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Gender
*
Please Select
Male
Female
N/A
Child's Address
*
Street Address
Street Address Line 2
Parish
Country
Post Office
Do you (or the child) have a family member who attends Orange Bay Prep.
*
Please Select
Yes
No
Name of the family member
*
Relationship of family member who attends
*
Doctor's Name
*
First Name
Last Name
Doctor's Phone Number
*
Has your child attended school before
*
Please Select
Yes
No
Last School Attended (If applicable
Grade
*
Please Select
None
Pre K
K1
K2
K3
1
2
3
4
5
6
Reason for Leaving:
Any Illness or Allergies(food, drug, or environmental):
*
Birth Certificate No. ( Number 3. on Jamaica Birth certificate)
*
Immunization Information
*
Please Select
Fully Immunized
Not Fully Immunized
Not Immunized
Immunization Passport Number
*
Religion
Denomination
NSRS Number (if applicable)
Only for children in Grade 1 or above
Place in Family
*
Please Select
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
No. of Siblings
*
Please Select
1
2
3
4
5
6
7
8
9
10
PARENTS INFORMATION
Mother Name
*
First Name
Middle Name
Last Name
Address
*
Street Address
Street Address Line 2
Parish
Country
Post Office
E-mail
example@example.com
Mobile/WhatsApp Number
*
Home Telephone Number
Work Telephone Number
Would you like your number to be added to the school's WhatsApp group?
*
Please Select
Yes
No
Occupation
Place of Work and Work Address
Father Name
First Name
Middle Name
Last Name
Address
Street Address
Street Address Line 2
Parish
Country
Post Office
E-mail
example@example.com
Mobile/WhatsApp Number
*
Home Number
Work Number
Would you like your number to be added to the school's WhatsApp group?
*
Please Select
Yes
No
Occupation
*
Place of Work and Work Address
*
EMERGENCY INFORMATION
Please note, emergency contacts cannot be the mother or father of the child.
Name
*
First Name
Last Name
Phone Number
*
Relationship to Child
*
Please Select
Father
Mother
Aunt
Uncle
Brother
Sister
Cousin
Grandmother
Grandfather
Caregiver
Friend of the Family
Name
*
First Name
Last Name
Phone Number
*
Relationship to Child
*
Please Select
Father
Mother
Aunt
Uncle
Brother
Sister
Cousin
Grandmother
Grandfather
Caregiver
Friend of the Family
FAMILY HISTORY
Are you a former parent of Orange Bay Prep? If yes, please state the name of the student.
*
Other children in the family:
*
Name and age
Did any of these children have a problem in school? (Explain)
*
Name and age
Do you have any other family member that have a problem in school?(Explain) Eg. learning disability, behavioral problems, etc.
*
Name and age
Give a brief history of your family background. (Type of family structure)
*
Name and age
DEVELOPMENTAL HISTORY
Were there any problem associated with pregnancy?
*
State age at which the child:
Please state any illness the child has had, and at what age.
*
Is the child on any prescribed medication? (Explain)
*
Describe any habits the child may have. (e.g. thumb sucking)
*
Has the child's development been different from the other children in the family?
*
Does he/she appear to have any problem with:
Has the child's development been different from the other children in the family?
*
SCHOOL HISTORY
Which school does the child attend?
Present Grade
Has any grade been repeated?
Please name all the school(s) attended, with dates.
*
Does the child have any problem with:
Is he/she:
Does the child adjust well with others?
Has the child ever had any special services in school? If yes, please state the services.
Is there any information concerning school which you feel may be helpful.
What type of consequence is given at home for inappropriate behavior?
What type of reward is given at home for positive behavior?
AUTHORISED PEOPLE WHO MAY COLLECT YOUR CHILD
We will only release your child into the care of another person if you have informed us, of their details.
Name
*
First Name
Last Name
Phone Number
*
Relationship to Child
*
Please Select
Father
Mother
Aunt
Uncle
Brother
Sister
Cousin
Grandmother
Grandfather
Caregiver
Friend of the Family
Name
*
First Name
Last Name
Phone Number
*
Relationship to Child
*
Please Select
Father
Mother
Aunt
Uncle
Brother
Sister
Cousin
Grandmother
Grandfather
Caregiver
Friend of the Family
Name
*
First Name
Last Name
Phone Number
*
Relationship to Child
*
Please Select
Father
Mother
Aunt
Uncle
Brother
Sister
Cousin
Grandmother
Grandfather
Caregiver
Friend of the Family
EMERGENCY MEDICAL CONSENT
I hereby give consent for the institution to seek all forms of medical and/or surgical treatment and/or other medical procedures for the above named child which may be required during my absence. I agree to pay for all services provided to my child in my absence in the event that during treatment my child is injured I waive all rights to pursue legal action. This authorization shall be effective as at today’s date unless revoked by me.
PARENTS NAMES
Signature
*
Signature
SPECIAL CONSIDERATION
SPECIAL EDUCATIONAL NEEDS (as identified by a relevant education professional)?
*
Please Select
Yes
No
SPECIAL DIETARY NEEDS
*
Please Select
Yes
No
ALLERGIES
*
Please Select
Yes
No
A SEVERE LONG TERM MEDICAL NEED?
*
Please Select
Yes
No
DOCUMENT UPLOAD
Please upload the child's documents. (Hard copies may be dropped off at the office). Two (2) passport size photographs of the child. A copy of the child's birth certificate and immunization card. Copy of both parent's ID Copy of last school report (if applicable)
Upload File
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If you have answered yes to any of the above, you must provide further information on the back of this form or on a separate sheet, together with copies of all relevant supporting documentation.
SCHOOL FEES AND PAYMENTS
Registration Day (Each Term)
A day on or before the first official opening day for each Term. School fee payment is verified (via copy of bank voucher, online payment verification, or credit card) Files are updated with changes (address/ emergency contacts /e-mail contacts, telephone number, etc)
School Fee Payment
Cash payment is done at the bank(full payment only). Bank vouchers are available at school. Debit or credit Card (3% charge added for credit cards only) payment is facilitated at the school . Online payment can be done also.
Refund Policy
Refund policy applies only if tuition is paid in full. A student who withdraws up to three weeks after admission is refunded half the tuition. A student who withdraws up to four weeks after admission is refunded one third of the tuition. A student who withdraws after four weeks of admission receives NO refund. A student who is expelled receives NO refund.
CLICK ON LINK TO JOIN THE SCHOOL'S WHATSAPP GROUP
ATTENTION
PLEASE NOTE STUDENTS REGISTERING FOR SEPTEMBER MUST ATTEND OUR SUMMER SCHOOL.
WHICH TERM WILL YOU START
*
CHRISTMAS ( September - December)
EASTER ( January - April )
SUMMER (April - July)
The information you have given will be helpful in making a fair assessment of the child. Thank you for providing the background information.
Agreement
Parent/Guardian Signature
*
Date
-
Month
-
Day
Year
Date
Submit Application
Submit Application
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