Thrones Rainbow APPLICATION FORM

APPLICATION FOR PRESCHOOL- GRADE 6 ADMISSION

Thrones Rainbow Angel Workshop Blk 3 Lot 3 corner Orlon & Vonel Sts., Litex Village, San Jose Rodriguez, Rizal Tel. no. 7212- 39 31 1 0920-559-5773 Email: thronesworkshop@gmail.com
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Instructions: All sections must be completed.

Write NA on the space when on itemis not opplicable and do not leave any item unanswered.
Entry Level:

Nursery 1 (3 y.o)Nursery 2 (4 y.o)Kindergarten (5 y.o)Grade 1 (6. y.o)Grade 2Grade 3Grade 4Grade 5Grade 6
Learner Reference Number (LRN)
SCHOOL YEAR
PERSONAL INFORMATION
Name of Student Applicant Name on Birth Certificate
Last
First
Middle (initial)
Address:
house number, street name
Barangay /District Name
City/Municipality or Town /Province
Area zip code
Date of Birth
Place of Birth
Religion
Citizenship
Phone number

Area CodePhone Number
EMAIL ADDRESS
example@example.com
FAMILY INFORMATION
FATHER'S NAME
MOTHER'S NAME
father's & mother's BIRTH date/ AGE
OCCUPATION
father's / mother's
EDUCATIONAL ATTAINMENT
MARITAL STATUS:

MARRIED AND LIVING TOGETHER ISINGLE PARENTSEPARATEDWIDOWEDREMARRIED
BROTHERS/SISTERS NAME
GUARDIAN (if not living with parents):
NAME
Please check the condition/s that applies / apply to your child that should be taken into consideration: Health / Physiological concerns

AsthmaAllergySurgerySpeech delayBronchritisVisual impairmentHearing impairmentNoneOther
Behavioral Concerns

Lack of eye contactPoor social skillsSmall attention spanfidgetymoves a lotEasily distractedTalks a lotnone
Clinically diagnosed conditions (such as ADHD, ADD, Learning disability, Asperger’s syndrome, etc.): *Please submit a copy of clinical diagnostic report together with this application forms. (specify)*
In case the applicant is accepted. write special consideration needed, if any (ex. Regular medication, etc
Is the child fit to attend in a traditional classroom setting?
THE FOLLOWING MUST BE READ AND SIGNED BY THE PARENTS OR GUARDIAN:

We understand that this application and admission to Thrones Rainbow Angel Workshop are subject to the following conditions:

1. That it is our responsibility to provide accurate information in this application and authorize the verification of the given credentials as well as to provide all necessary documentary evidence of qualification and experience;

2. That we agree to comply with the rules, policies and regulations of Thrones Rainbow Angel Workshop when the applicant is accepted.

I hereby certify that all information supplied in this application is complete and accurate.
Parent's /Guardian Signature Over Printed Name

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DATE

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Date
Attached with this form: You may email (thronesworkshop@gmail.com) some of the requirements to us or send a copy in-person (Pls. check)

Copy of NSO / PSA Birth Certificate2 copies of 1x1 & 2x2 pictureOriginal copy of Form 138 (Report Card)Copy Diagnostic Report (if any)Copy of immunization record and/or Covid-19 Vaccine recordDown or full payment of required fees (Cash or bank transfer/ online banking
Documents checked and verified by
HOLD due to
Date

MonthDayYear
Date
Should be Empty:

APPLICATION FOR PRESCHOOL- GRADE 6 ADMISSION

PERSONAL INFORMATION

FAMILY INFORMATION