Name of childStreet AddressApartment, suite, etcCityState/ProvinceZIP / Postal CodeCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre & MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweHome telephoneGradeTERM AND YEAR TO BE ENROLLEDDate of birthAgeGenderFemaleMaleTextEmail AddressAgeBirth entry numberReligionDenominationNumber in familyPosition in familyLast grade completedSchool last attendedSIBLINGS ALREADY ENROLLED AT THE HILL PREPARATORY SCHOOL. IF YES, IN WHICH GRADE?FAMILY DOCTORPhoneMEDICAL AID INFORMATIONHEALTH PROBLEMSDOES THE CHILD HAVE ANY PHYSICAL DEFECTS OR ALLERGIES?YESNOIF YES PLEASE EXPLAIN:LEARNING DIFFICULTIES OR SPECIAL NEEDSHAS THE CHILD RECEIVED IMUNIZATIONS? PLEASE TICK3 MONTHSDPT 1POLIO 24 MONTHSDPT 2POLIO 25 MONTHSDPT 3POLIO 318 MONTHSDPTPOLIO9 MONTHS: MEASLESYESNOFATHER/GUARDIANEMPLOYERPOSITIONBUSINESS PHONEHOME PHONECELL/WHATSAPPEmail AddressEMERGENCY CONTACT PERSONPhoneMOTHER/GUARDIANEMPLOYERPOSITIONBUSINESS PHONEHOME PHONECELL/WHATSAPPEmail AddressEMERGENCY CONTACT PERSONPhoneANY FAMILY HISTORY THAT MAY HELP US TO UNDERSTAND YOUR CHILD BETTEREnrollment FeeUSDReceipt NoDateCONTRACT BETWEEN PARENT AND THE HILL PREPARATORY SCHOOL *I, {custom_value}, being the Father/Mother/Guardianof {custom_value} hereby pledge that my financial obligations to the School will be met by the agreed date and agree to any increases of fees that the School deems necessary.I give permission for my child to participate in school activities and sports.I absolve the School from all liability in respect of injuries to my child during attendance at school and any school sports.I agree to all the School regulations and authorize the School to use disciplinary measures that it deems wise and expedient for the correction of my child.The School reserves the right to suspend or expel any child who fails to comply with the School rules and regulations.One term’s notice is required from me in advance and in writing for the removal of my child from The Hill Preparatory School (or a full term’s payment of the fees in lieu of notice).NameCELL/WHATSAPPEmail AddressRELATIONSHIP TO CHILDSIGNATUREChoose FileNo file chosenDelete uploaded filePerson responsible for pick up/paying for transportNamePhoneEmail AddressSIGNATUREChoose FileNo file chosenDelete uploaded fileUpload the following documents.Drag and Drop (or) Choose Files1. Copy of Birth Certificate 2. Last school report 3. Diagnostic reports (If applicable) 4. Proof of payment 5. Passport size photoSend Message