Please notify Parent Liaison Manager of any changes in writing to the information given in this form

(If not applicable, please indicate N/A)

IMPORTANT: Should Middleton be unable to contact the child's parent or emergency contact person as listed in the student contract, I give my permission to Middleton to seek medical assistance for my child. I will bear full

financial responsibility for any cost incurred.

I declare that the information on this application form and all supporting documents is true and accurate to my full knowledge. I understand that all applications are subject to review and the placement is not guaranteed. A paid assessment may be required to determine student suitability. In the event of a waitlist application, I understand that placement is subject to a spot becoming available and that this may be after my proposed commencement date.

I agree that in the case of learning support needs, the school will carefully assess whether it can provide adequate support for my child before confirming my child's enrolment. I understand that any failure to declare such information will result in the offer of a place being withdrawn or my child being asked to leave the school.

I understand that the registration fee is payable for International School applications and the school shall be entitled to increase the school fees from time to time. I am aware that any fee increase will be notified to me in writing and the increased fee shall be payable by me effective from the date stipulated in the notice.

I understand that all information provided in this form shall be classified confidential and used as per the school's confidentiality and security of information.

In signing this Student Registration Form you have acknowledged that our School Parent Liaison Manager has explained that the course has already commenced and that your child will enter the course part way through. You have therefore agreed to enroll your child, being fully aware that the course has already commenced. Also, the school will not be held responsible should your child be unable to cover all course requirements by the completion date.

I have read, understood and agree to the terms and conditions of Middleton International School Bangkok.

Please refer to this check list and submit any outstanding documents before your child's commencement date. In view of the current Safe Management Measures, application documents can be received electronically. Original documents may, however, be requested following submission for verification purposes.

1. 1 x Passport sized photo of the child (Registration form)
2. Copy of father's passport
3. Copy of mother's passport
4. Copy of child's Birth Certificate or Passport showing the page of child's personal particulars
5. Copy of child's latest school report (in English)
6. Specialist reports, eg psychologist, speech, occupational therapy etc (if applicable)
7. 1 x Passport sized photo of each parent/guardian for parent photo ID