AVICA Admission Form

Admission Form
Student Information
Full Name of the Student

First NameLast Name
Date of Birth

MonthDayYear
Date
Gender
Current Grade/Class
Previous School (if applicable)
Photo of the Student

Cancelof
Parent/Guardian Information
Full Name of Parent/Guardian

First NameLast Name
Relationship to the Student
Phone Number

Country CodeArea CodePhone Number
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Medical History

This field seek to obtain medical history about your child.
Are there any special health challenges your child has that must be considered? Select if applicable

Other
If you have selected any of the above or ticked 'Other', please give more information below.
Enquiry Details
Interested Academic Year for Admission
How did you hear about our school?

Other
If you selected 'Other' please let us know.
Why do you and your child want to attend AVICA?
Please explain in a few words what AVICA means to you and your child.
Are you interested in the schools activities?
Are you interested in the school transportation? Please see the Prospectus for current prices.
Would you like to schedule a visit to the school?
Preferred Date for a School Tour/Visit

MonthDayYear
I testify that,the information provided above is accurate and correct,and hence give Abetfi victory Christmas Academy permission to keep this information.i have also read through the prospectus and agree to adhere to AVICA's policies and regulations.
Signature
Please verify that you are human
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Admission Form

Student Information

Parent/Guardian Information

Medical History

Enquiry Details