Newark School Malta Registration Form

Application for Admission

Please complete a separate form for each child
Family name
First name
Middle name
Nickname (if any)
Passport number
Passport place of issue
Date of birth

MonthDayYear
Nationality
Place of birth
Gender
Religion
Please affix photograph of child

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Details of brothers and sisters

Rows	Sibling 1	Sibling 2	Sibling 3
First name
Date of birth
School year
Current school
Gender

Details of previous schools

Rows	Age	Name of School	Country	Type of school (International etc)	From (month/year)	To (month/year)	Year/Level

Child's language ability
Is English the child's first language?

If the answer is 'no' please complete the table below:

Rows	Very good	Good	Fair	A little
Listening
Speaking
Reading
Writing

Which language is spoken within the family?
What other language(s) does you child understand?
Friendship patterns
Please indicate which, if any, of the following statements most closely matches your child
Does your child have any special needs?
Physical disabilities (including visual / hearing / speech / mobility problems)
Behavioural difficulties (including eating or sleeping problems, anxiety, depression)
Learning difficulties
For any 'yes' answers, please give details including any medication currently being taken
Health information
Does your child have any medical condition or health issues that may require attention whilst at school?
If the answer is 'yes', please give details including information about any medication being taken.
General information about your child
Does he/she have any special skills or interests?
Has he/she ever been placed out of the normal age group for his/her age? If yes, please give details
Please indicate the areas and/or subjects that your child enjoys most
Will your child attend Maltese lessons?
Parent's / Guardian's details
Guardian 1

Other
Name

First NameLast Name
Nationality
Passport number
Type of visa (if applicable)
Employer
Job position / title
Address

Street Address

Street Address Line 2

City

Postal / Zip CodeCountry
Home telephone number
Mobile number
Email
example@example.com
Guardian 2

Other
Name

First NameLast Name
Nationality
Passport number
Type of visa (if applicable)
Employer
Job position / title
Address

Street Address

Street Address Line 2

City

Postal / Zip CodeCountry
Home telephone number
Mobile number
Email
example@example.com
Guardian 3

Other
Name

First NameLast Name
Nationality
Passport number
Type of visa (if applicable)
Employer
Job position / title
Address

Street Address

Street Address Line 2

City

Postal / Zip CodeCountry
Home telephone number
Mobile number
Email
example@example.com
Payment information
School fees paid by:
Address for sending invoices and correspondence (if different to the guardian)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Agreement of Parent / Guardian
Full name
Date of application

MonthDayYear
Date
GUARDIAN DECLARATION

In making this application, I/we undertake and agree:
- To make all due payments in accordance with the school's schedule of fees;
- To give in writing, at least one term's notice of a student leaving the school;
- By registering your child at Newark School Malta, parents automatically agree to abide fully by the schools' policies and procedures
INDEMNITY
- I/We understand and agree that in the event of an emergency, Newark School Malta will make every effort to contact the parents/guardians. However if this is not possible, the student will be taken to the nearest polyclinic/hospital, approved by the school, for treatment.
Documents required for enrollment
Once you submit your application, we will contact you to complete the registration.

Thank you!
Should be Empty:

Application for Admission

Details of brothers and sisters

Details of previous schools

Child's language ability

Friendship patterns

Does your child have any special needs?

Health information

General information about your child

Parent's / Guardian's details

Payment information

Agreement of Parent / Guardian

Documents required for enrollment