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"The Will Does It"

         


APPLICATION FOR INFANT ADMISSION
Fill in the information and click the "Submit Form" button below or
download an application form and post to the school

   

Established 1949

 
         

You will need Adobe Acrobat Reader software to view the printable
application form.  If you do not have this software already installed
on your computer, click on the image below to download it free.

Name of child

First Name
Last Name
Middle Initial
Date of Birth
Country of birth
Religion
Sex Male Female

Address

Address 1
Address 2
Address 3
Phone

Pre-school

Name of School
Address 1
Address 2
Address 3
Phone

Parent/Guardian

Please provide the following contact information:

Mother's Name
Address 1
Address 2
Address 3
Occupation
Organization
Work Phone
Home Phone
E-mail
 
Father's Name
Address 1
Address 2
Address 3
Occupation
Organization
Work Phone
Home Phone
E-mail
 
Guardian's Name
Address 1
Address 2
Address 3
Occupation
Organization
Work Phone
Home Phone
E-mail

Emergency Contact

Name
Phone
E-mail

Has the child has received treatment for any of the following? (Please select) 

Asthma            Scabies                   Nose Bleed

Bronchitis        Small Pox                Heart Disease

Fits                  Skin Disorders        Rheumatic Fever

          Allergies

Has the child been innoculated against any of the following? (Please select) 

Diph./Tet.    Polio    Yellow Fever    Measles/Rubella

 

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Questions? Comments? Suggestions?