GKA School Application Form

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Great Arete Limited SchoolsGreat Kids Nursery & Preschool 18months to 5 years, Great Kids Elementary 5 years to 8 years
Great Kids Daycare; Daycare Advance - 18 months to 3 years
Great Kids Reception Lower - 3 years to 4 Years
Great Kids Reception Upper 4 years to 5 years
Great Kids Elementary - Infants A 5 to 6 years
Great Kids Elementary - Infants B 6 to 7 years
Great Kids Elementary - Class One 7 to 8 years
Great Kids Elementary - Class Two 8 to 9 years
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How did you hear/find out about Great kids Indicate the location where you learnt about Great Kids or the person who referred you
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Large
Normal
Small
Ok
Ok
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Sex of ChildGender
Male
Female
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Child's Name
First Name
Last Name
5
Child's Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
6
Child's Birthdate
Date
Month
Day
Year
7
Mother's Full Name
First Name
Last Name
8
Father's Full Name
First Name
Last Name
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Mother's Medical History - Tick which applies
Problems with Pregnacy
Problems after Labour
Born Premature
Full Term Pregnancy
Illnesses
Surgeries
Hospitalizations
Injuries
Trauma
Treatments
10
Mother's Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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Father's Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
12
Mother's Employer
13
Mother's Occupation
14
Email
example@example.com
15
Mother's Telephone Number Mobile
Please enter a valid phone number.
16
Mother's Telephone Number Work
Please enter a valid phone number.
17
Mother's Telephone Number Home
Please enter a valid phone number.
18
Father's Employer
19
Father's Occupation
20
Email
example@example.com
21
Father's Telephone Number Home
Please enter a valid phone number.
22
Father's Telephone Number Work
Please enter a valid phone number.
23
Father's Telephone Number Mobile
Please enter a valid phone number.
24
Joint Custodial or Non Custodial Parental Information - Tick the appropriate box
Father
Step -Father
Mother
Step - Mother
Other
25
Name of "OTHER"
First Name
Last Name
26
Phone Number of "OTHER"
Please enter a valid phone number.
27
Email
example@example.com
28
Employers Name blanks .
Occupation blank .
Street Address     Address Line 2     City     State     Zip

Tick all that Applies:
Emergancy Contact Send School News     Can receive Report Card     Can pick Up Student
29
Emergency Consent Release Form - Name
First Name
Last Name
30
Relationship to Student
31
Mobile Number
Please enter a valid phone number.
32
Home Number
Please enter a valid phone number.
33
Work Number
Please enter a valid phone number.
34
Consent Signature
Clear
35
Person 1 Permitted to collect
First Name
Last Name
36
Person 1 Phone Number
Please enter a valid phone number.
37
Person 2 Phone Number
Please enter a valid phone number.
38
Person 2 Permitted to collect
First Name
Last Name
39
Health Information Records - Please submit your child's vaccination schedule, a vaccination certificate or exemption affidavit for our records. Do you have this information at hand?
40
Pediatrician's Name
First Name
Last Name
41
Office Number
Please enter a valid phone number.
42
Mobile Number
Please enter a valid phone number.
43
Tick any allergies that apply
YES
Fish
Row 0, Column 0
COD FISH
Row 1, Column 0
FISH PATTIES
Row 2, Column 0
CHICKEN
Row 3, Column 0
CHICKEN PATTIES
Row 4, Column 0
LAMB
Row 5, Column 0
BEEF
Row 6, Column 0
SWEET POTATO
Row 7, Column 0
CORN BEEF
Row 8, Column 0
HOT DOG
Row 9, Column 0
NUTS
Row 10, Column 0
WHITE BREAD
Row 11, Column 0
WHEAT
Row 12, Column 0
OATS
Row 13, Column 0
BRAN
Row 14, Column 0
RICE
Row 15, Column 0
YAM
Row 16, Column 0
SWEET POTATO
Row 17, Column 0
MILK
Row 18, Column 0
RAISINS
Row 19, Column 0
GLUTEN
Row 20, Column 0
YELLOW DYE
Row 21, Column 0
MAUBY
Row 22, Column 0
ORANGE
Row 23, Column 0
PINEAPPLE
Row 24, Column 0
BANANA
Row 25, Column 0
APPLES
Row 26, Column 0
WATERMELON
Row 27, Column 0
CAN FRUIT
Row 28, Column 0
AVOCADO
Row 29, Column 0
EGG
Row 30, Column 0
Fish
COD FISH
FISH PATTIES
CHICKEN
CHICKEN PATTIES
LAMB
BEEF
SWEET POTATO
CORN BEEF
HOT DOG
NUTS
WHITE BREAD
WHEAT
OATS
BRAN
RICE
YAM
SWEET POTATO
MILK
RAISINS
GLUTEN
YELLOW DYE
MAUBY
ORANGE
PINEAPPLE
BANANA
APPLES
WATERMELON
CAN FRUIT
AVOCADO
EGG
YES
Row 0, Column 0
YES
Row 1, Column 0
YES
Row 2, Column 0
YES
Row 3, Column 0
YES
Row 4, Column 0
YES
Row 5, Column 0
YES
Row 6, Column 0
YES
Row 7, Column 0
YES
Row 8, Column 0
YES
Row 9, Column 0
YES
Row 10, Column 0
YES
Row 11, Column 0
YES
Row 12, Column 0
YES
Row 13, Column 0
YES
Row 14, Column 0
YES
Row 15, Column 0
YES
Row 16, Column 0
YES
Row 17, Column 0
YES
Row 18, Column 0
YES
Row 19, Column 0
YES
Row 20, Column 0
YES
Row 21, Column 0
YES
Row 22, Column 0
YES
Row 23, Column 0
YES
Row 24, Column 0
YES
Row 25, Column 0
YES
Row 26, Column 0
YES
Row 27, Column 0
YES
Row 28, Column 0
YES
Row 29, Column 0
YES
Row 30, Column 0
1 of 31
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Tick the appropriate boxes
Currently on medication
Allergies (not listed above_
Physical Disabilities
Learning Challenges
45
Tick the appropriate boxes and Explain below
Challenge with Balance
Challenge with Coordination
Challenge with Speech
Challenge with Hearing
Challenge with Vision
46
If Yes for Language or Speech, Answer these questions: Does he/she have a Speech Therapist? Explain below the problem.
47
Name of Speech Therapist
First Name
Last Name
48
If Yes for Hearing, Answer these questions: Has he/she had their hearing test? When? Routine check at 1 week old.
49
Name of Ophthalmologist
First Name
Last Name
50
Does your child suffer from hearing loss? If Yes, Describe Treatment.
51
Is your child learning Sign Language? If yes, state what days and times.
52
Has your child ever had seizures? If Yes, explain
53
Is you child on a treatment plan for the seizures? If Yes, explain
54
Does your child see a Behavioural Therapist?
55
Name of Behavioural Therapist
First Name
Last Name
56
Does your child see an Occupational Therapist?
57
Name of Occupational Therapist
First Name
Last Name
58
Does your child have any other health issues that we should be aware of? If Yes, please state:
59
Does anyone in your family have Learning Challenges
Yes
No
Dyslexia
Row 0, Column 0
Row 0, Column 1
ADHA
Row 1, Column 0
Row 1, Column 1
Non -Verbal
Row 2, Column 0
Row 2, Column 1
Dyslexia
ADHA
Non -Verbal
Yes
Row 0, Column 0
No
Row 0, Column 1
Yes
Row 1, Column 0
No
Row 1, Column 1
Yes
Row 2, Column 0
No
Row 2, Column 1
1 of 3
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For any Disabilities or Learning Challenges please upload here - Doctor's Assessment File Upload
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
61
Who lives in the family home?
62
At what age did your child first crawl?
63
At what age did your child first walk?
64
At what age did your child say their first word?
65
At what age did your child put two word together?
66
At what age did your child potty train?
67
What language is spoken in the home?
68
Select which applies to your concerns:
Temper Tantrums
Fears
Aggressiveness
Speaks Loudly
Nervous Behaviour
Shy
Crying all the time
Doesn't join group activiites
Doesn't look you in the eyes
Behaviour towards Adults
Behaviour towards Children
69
Comments if Yes, to any of the above mentioned
70
What term best describes your child
Extravert
Introvert
Blend
71
How does your child feel about going to school
Excited
Confident
Nervous
Scared
Does not want to go
72
Check the task(s) which your child is responsible for
Dressing
Putting away toys
Feed Pets
Water Plants
Make the Bed
Set Table
Clear Table
73
What Items does your child use at home
Scissors
Glue
CrayonsMarkers
Paint
74
What activities do they enjoy
Swimming
Football
Dancing
Coding (Computer)
Craft
Cooking / Baking
Music
Reading
Adventures
Sensory
Nature Outdoors
75
Which Hand does your child prefer to write with
Left
Right
Both
Undecided
76
What is your child's favourite Character?
77
What is your child's favourite TV - Show?
78
How often do you read with your child?
79
What is your child's favourite story book?
80
Does your child have access to electronics? if Yes, what programs go they go on?
81
Does your child spend more than 2 hours a day on the electronics? If Yes, how much time?
82
Does your child spend watching TV? If Yes, how much time?
83
What is your child's favourite TV - SHOW?
84
What time does is your child's go to sleep?
85
What disciplinary methods are most effective with your child?
86
How do they respond to the disciplinary methods?
87
TermFees - (Sept 2021 -June 2022)
Processing & Placement Fee upon submission on this Application $200 (non-refundable)
Aid Assistance $900 Monthly (if required)
Monthly Rate (18+ months to 5 yrs) $790.00
Term Rate Elementary School (5 yrs +) $2600.00
Annual Petty Fee Rate $150.00
Holding Placement Fee $200.00 (non refundable)
After Care $ 55.00 weekly
After Care Rate after 03:15 pm - $15.00
International Students - contact Admin (246 233-8014)
Daily Rate - $45
88
Note that payments for the term can be made in three equal consecutive monthly instalments.
89
Today's Date
Date
Month
Day
Year
90
Signature
Clear
91
Checklist After SubmissionAwait Confirmation, meanwhile the drop down box, prepares you for what will happen next. Please provide a pin pin photo.
Pay $200.00 Processing and Placement Fee
2 Pinpon Photo's of the Student
Medical Records
Make sure you are up to date with your vaccinations
Doctor's Certificate showing clearance for school entry
Dressed in Uniform for Day of Orientation
Upon receiving your Acceptance Letter - a list will be provided within 10 working days on Supplies, Uniforms, Books and more.
Should be Empty: