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Summer School Application Form

Child Information

Full Name (Surname First)

*

Date of Birth

*

Gender

*

A

Male

B

Female

Home Address

*

Class by new session in September

*

A

Nursery 1

B

Nursery 2

C

Primary 1

D

Primary 2

E

Primary 3

F

Primary 4

G

Primary 5

H

Primary 6

Parent/Guardian Information

Title

*

Full Name

*

Phone Number

*

Email Address

*

Relationship to Child

*

Emergency Contact

Full Name

*

Relationship to Child

*

Phone Number

*

Authorized Pick-Up Contacts

Authorized Contact Name

*

Authorized Contact Phone Number

*

Note: Valid ID will be required at pick-up.

Allergies

*

Medical Conditions

*

Upload Proof of Payment

Note: An application fee of ₦45,000 is required to complete the registration process.

Proof of Payment for Summer School (Receipt)

*

Size limit: 10 MB

Are you interested in the After School Care?

*

Note: An application fee of ₦15,000 is required.

A

Yes

B

No

Consent & Agreement

*

I have read and agree to abide by the school's policies and procedures as outlined in the parent handbook.

I confirm that the information provided in this application is accurate and complete to the best of my knowledge.

I consent to photographs being taken of my child during school activities for documentation purposes.

I understand that photographs may be used in a promotional context and consent to such use.

In the event of an accident, I grant permission for school staff to administer first aid or call an ambulance if necessary.

Signature & Date

Signature

*

Today's Date

*

Reminder: Your application will only be processed once proof of payment has been received.