Student Name *

First Name

Last Name

Has this child previously studied at Eqraa Arabic School? *

Yes

No

Medical Conditions *

None

Allergies

Anaphalaxsis

Asthma

Other

Father's Name *

First Name

Last Name

Mother's Name *

First Name

Last Name

Emergency Contact *

First Name

Last Name

I confirm I will fully abide by the rules and regulations of the school to create a healthy and educational environment for our children. I will also follow up the weekly homework duties with my child. *

Yes

No

I confirm I have read and I understand the contents of the Student Information Booklet, including the policies, and expectations of the school, the student and the parents. *

Yes

No

I confirm I will be fully responsible and will pay the balance as described above on a termly basis. Failure to pay will result in re-evaluation of my child's enrollment at school. *

Yes

No

I authorise the school to take and publish photographs of my child for educational purposes, school newsletter and social media. *

Yes

No

I have read and understand the information in this application including about the collection of personal information, publishing student information, online services and consent. *

Yes

No

I declare that the information provided in this application is, to the best of my knowledge and belief, accurate and complete. *

Yes

No

Where I have given personal information about people other than myself or my child(ren) I have done so with their authorisation. *

Yes

No

I am aware that if information I have given is false or misleading, any decision made as a result of this application may be changed. *

Yes

No

Full Name of Parent/Guardian completing the form. *

First Name

Last Name

By checking this box, I am digitally signing this form. *