Student Registration Form

The Kids Glory School

7, Segun Omolale Street, Ago Palace Way, Okota, Lagos.
info@kidsgloryschool.org
www.kidsgloryschool.org
+2348023568058
Student Registration Form

Basic Information
Student's Full Name*

First NameMiddle NameLast Name
Parent's Full Name*

First NameMiddle NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Student's Birth Date*

MonthDayYear
Permanent Address*

Street Address

Street Address Line 2

CityState

Postal / Zip CodeCountry
Emergency Contact Name*

First NameLast Name
Relationship*
ex. Father, Mother, etc.
Email
example@example.com
Phone Number*

Area CodePhone Number
Additional concerns
Please verify that you are human*
Should be Empty: