From a waddle to a stride

Request for Admission

Personal data of child

Full name (child)

Surname (child)

Name usually called (child)

Date of Birth (child)

Place of Birth (child)

Home Language (child)

Previous Pre-school (child)

Particulars of Parents / Guardians

Full name (father / guardian)

ID number (father / guardian)

Date of Birth (father / guardian)

Occupation (father / guardian)

Nationality (father / guardian)

Cellphone number (father / guardian)

Work telephone (father / guardian)

Home telephone (father / guardian)

Personal Email (father / guardian)

P O Box (father / guardian)

Street address (father / guardian)

Employer (father / guardian)

Particulars of Parents / Guardians

Full name (mother / guardian)

ID number (mother / guardian)

Date of Birth (mother / guardian)

Occupation (mother / guardian)

Nationality (mother / guardian)

Cellphone number (mother / guardian)

Work telephone (mother / guardian)

Home telephone (mother / guardian)

Personal Email (mother / guardian)

P O Box (mother / guardian)

Street address (mother / guardian)

Employer (mother / guardian)

General Information

Is your child allergic to anything? Please specify

Are all inoculations up to date?

Are there any other obvious health aspects the school needs to know about?

Name and age of sibling/s

Where did you hear about our school?

Requested entrance date to Waddle Ducks

Are you specifically looking for a Montessori education?

Your Signature

Name and Surname of Parent

Date

Thanks for submitting application!