Hana Online Admission Form

Date of Enrollment *

Date

Applying for Grade *

Pre-School K-1 K-2 K-3

Academic Session *

Name of the Student *

First Name Last Name

Nick Name

Date of Birth *

Birth Date

Age *

Nationality *

Gender *

Home Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Phone Number *

Please enter a valid phone number.

Father's Name *

First Name Last Name

Occupation *

Office Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Phone Number *

Please enter a valid phone number.

Email *

Confirmation Email Re-enter E-mail address for verification

Mother's Name *

First Name Last Name

Occupation *

Office Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Phone Number *

Please enter a valid phone number.

Email *

Confirmation Email Re-enter E-mail address for verification

Name

First Name Last Name

Relationship

Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Phone Number

Please enter a valid phone number.

Email

Confirmation Email Re-enter E-mail address for verification

Name

First Name Last Name

Phone Number

Please enter a valid phone number.

Name

First Name Last Name

Phone Number

Please enter a valid phone number.

Physical Ailments? *

Yes No

If yes, please specify

Any Allergies? *

Yes No

If yes, please specify

Special Needs or Requests

1. Have your child ever attended school before? *

Yes No

2. What is your child's first language? *

3. What other languages can your child speak? (Optional)

4. Language spoken at home? *

5. Has your child ever been referred for educational or psychological testing? *

Yes No

If yes, please specify

6. Are you concerned your child may need support in regard to learning behavior or emotional problems? *

Yes No

7. Can the school nurse give Paracetamol and common cold medications? *

Yes No

8. Does your child have hearing aid or hearing difficulties? *

Yes No

9. Does your child have hemophilia? *

Yes No

10. Does your child wear glasses? *

Yes No

11. Does your child have heart or joint problems? *

Yes No

If yes, please specify

12. Does your child suffer from asthma? *

Yes No

13. Does your child take regular medication? *

Yes No

If yes, please specify

14. I authorize Hana Christian International Kindergarten School to use photos of my child in school publications including websites, Facebook, school brochures, handbooks, & in the class room. *

Yes No

Child's Birth Certificate *

Child's Passport (Foreigner)

House registration book (If applicable)

Parent's Passport (Foreigner)

Child's Photo *

Parent's Signature

Clear

1. I certify that the information contained in this application and supporting documents is complete and correct. I understand that Hana Christian International Kindergarten reserves the right to reassess and withdraw any offer of admission when an application is discovered to be incorrect or incomplete. Any additional information that I have regarding my child’s abilities or special needs has been included in a separate letter to the school.

2. I understand that acceptance and enrollment constitute a contract to pay the entire year’s fees as specified on the fee schedule, and I understand that there is no reduction or refund for absence or dismissal unless covered by the tuition refund policy. I have received and read the fee schedule and agree to be responsible for paying the fees according to the schedule set by Hana Christian International Kindergarten.

3. I understand that my child’s name and photos may be used in school materials and media; including but not limited to award presentations, ceremonies, newsletters, websites, videos, etc., unless I specifically request otherwise in writing.

4. If my child is determined to need ESL support, I understand that my child will receive ESL services, and that I will be required to pay the ESL fee.

By completing this application, you are registering an intention to enroll the child named in this form at the school. I hereby agree to the Curriculum of Hana Christian International School. I understand that as a Christian School the Teachers/School will teach according to Christian Morals and values.

ข้าพเจ้ายอมรับเงื่อนไขและหลักสูตรที่ทางโรงเรียนอนุบาลนานาชาติฮานาคริสเตียนได้กำหนดไว้ ข้าพเจ้าเข้าใจว่าโรงเรียนอนุบาลนานาชาติฮานาคริสเตียนเป็นโรงเรียนคริสเตียนคุณครูจึงสอนนักเรียนตามหลักการและคำสอนของคริสเตียน.

หลักฐานที่นำมาแสดง

- สำเนาสูติบัตร 1 ฉบับ(Copy of birth certificate.)
- สำเนาทะเบียนบ้าน (House Registration Certificate, if applicable.)
- รูปถ่ายเด็ก 2 รูป (Child’s Photo 2 copies.)
- สำเนาบัตรประชาชน บิดา-มารดา (Copy of parents’ ID, if applicable.)
- Copy of Student’s passport (For foreigner)
- Copy of Parent(s) passport (For foreigner)

Do you understand and agree to the terms listed above? *

Yes, I understand and agree to the terms listed above.

Hana Student Application Form

Basic Information (Required)

Father's Information (Required)

Mother's Information (Required)

Guardian's Information (Optional)

Emergency Contact 1 (Optional)

Emergency Contact 2 (Optional)

Physical Ailments (Required)

Background Information (Required)

Documents for registration (Required)

Agreement