Primary School Admission

Secondary School Admission

Please complete the form below
Please select the year group your child is entering*
Child's Personal Details
First Name*
First Name
Last Name*
Last Name
Middle Names
Middle Names
Date of Birth*

DayMonthYear
Date
Gender*
Religion*
Address*

Street Address

Street Address Line 2

DistrictState / Province

Postal / Zip Code
Educational/Medical Factors
Please tick the relevant box to make us aware of any medical factors we should be aware of:*

Sight ProblemHearing ProblemSpeech ProblemAsthmaEczemaFaintingHay FeverNose BleedsEpilepsyBlood PressureHeadachesAllergies (Please specify below)Other (Please specify below)None of the above
If you have ticked Allergies or other, we would appreciate if you could include further details of this :
Is your childsuffering from any other illnesses?*

YesNo
If yes please state the illness (including Physical limitations)
Name and Address
Is your child taking medication?*

YesNo
If yes, please state the medication and frequency
Name and Address
Does your child have any brothers or sisters attending this School?*

YesNo
If ‘Yes’ please give details of sibling’s name(s), date(s) of birth and Year group(s)
Parent/Guardian Contact Details
Name of Parent/Guardian (First Priority)*

First NameLast Name
Relationship to child*
If other , please state your relationship below
Home - Phone Number*
Please enter a valid phone number.
Work- Phone Number*
Please enter a valid phone number.
Mobile/Emergency - Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Name of Second Contact Person

First NameLast Name
Home - 2nd Contact Phone Number
Please enter a valid phone number.
Work- 2nd Contact Phone Number
Please enter a valid phone number.
Please indicate whether a duplicate copy of any correspondence is required, for example single parents*

YesNo
If Yes, please give details for Duplicate copy
Name and Address or email
Is the child’s parents offshore?*

NoYes
If Yes, please give state: Mother/Father or Both
State Mother/Father or Both
Permission for your child to be filmed/photographed e.g Class visits/school activities that could be used in the local media or internet*

YesNo
Permission for you child to participate, under the supervision of the school, in all educational excursions and / or extra curricular activities over the course of the year. (Visits /activities are indicated on curriculum letter sent each half term)*

YesNo
Please indicate whether you wish to receive newsletter by email or hard copy*

Emailed to the address provided aboveHard copy, via your child
Transport and Collection from School
Arrival (AM)*

BusWalkCar
Departure (PM)*

BusWalkCar
In the event of immediate school closure, please indicate your preferred arrangement for your child*

School bus directly homeRemain at school for collection by authorised personOther (Please specify below)
Please include here any other relevant information you would like the school to know
Agreement
Please note that by submitting this admission form you are agreeing to admit your child to School and therefore are agreeing to abide by the policies (copies of which can be requested through the Head Teacher or School Secretary) and procedures of the Education, Skills and Employment portfolio. This includes procedures around collection, storage and use of the above data in relation to our Portfolio’s Information Management Systems (e.g SIMS, SIMS Connected, GL Assessment and other necessary Third Party platforms that support Teaching and Learning).

If you require further information in relation to any of the above procedures please email info@sainthelena.edu.sh
I Agree
Should be Empty:

Secondary School Admission

Child's Personal Details

Educational/Medical Factors

Parent/Guardian Contact Details

Transport and Collection from School

Agreement