St Boniface Nursery School Application and Registration

St Boniface Nursery School Student Registration Form
Please fill out all fields with accurate information. If the question does not apply to you please indicate by typing NOT APPLICABLE
Student Information
First Name
Middle Name
Last Name
Gender
Previous School Attended
Date of Birth

MonthDayYear
Child's National Registration Number
Child's Nationality
Home Phone

246000-0000
Address

Street Address

Street Address Line 2

Parish

Country (Please change to Barbados)
Upload a passport size photo of the child

Browse Files

Cancelof
Upload the child's birth certificate

Browse Files

Cancelof
Mother's Information
Full Name

First NameLast Name
Home

246000-0000
Cell

246000-0000
Occupation
Place of Employment
Work

246000-0000
E-mail
Address - Same As Child
If your address is different than the child's please fill out the info below. Otherwise move onto the next section.
Address

Street Address

Street Address Line 2

Parish

Country
Father's Information
Full Name

First NameLast Name
Home

246000-0000
Cell

246000-000
Occupation
Place of Employment
Work

246Phone Number
E-mail
Address - Same As Childs
If your address is different from the child's please fill out the info below. Otherwise move onto the next section.
Address

Street Address

Street Address Line 2

Parish

Country
Please list the persons authorized to pick up your child.
Other Information
Is your child /ward toilet trained?
Is your child /ward immunized?
Does your child/ward have any allergies?
If yes please list, including any food or drug allergies.
Can your child consume the following foods and beverages?
Does your child /ward have any medical conditions?
Is your child/ward currently taking any medications? If yes, state the medication being used and the purpose
Is your child/ward an asthmatic? Indicate the type of inhalers/medication used
Does your child/ward have any challenges in any of the following areas?
Can your child/ward do the following?
How do you punish your child/ward?
Why did you choose St. Boniface Nursery School?
What benefits do you expect your child to derive from attending St. Boniface Nursery School?
Emergency Contact - Other than Parent/Guardian
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

Parish

Country (Please change to Barbados)
Home

246000-0000
Cell

246000-0000
Work

246000-0000
Upon receipt of your application form, you will be contacted by the Principal or the Senior Teacher to acknowledge and verify the information. Please ensure that the contact information provided is accurate and up to date.
Form submitted by

First NameLast Name
Relation to student:
Should be Empty:

St Boniface Nursery School Student Registration Form

Student Information

Mother's Information

Father's Information

Other Information

Emergency Contact - Other than Parent/Guardian