Students Application Form

WATERFORDS INTERNATIONAL SCHOOL

              Crθche, Nursery & Primary

            1 Winner Close, Ring Road, Osogbo, Osun State, Nigeria

Form Fee N1,500

         STUDENT APPLICATION FORM

                            Form Number ………………                                                                                   Date ………………………

Surname

First name     Middle name

Gender (M/F)

Date of Birth     Day/Month/Year

School Meals Y/N      Paid Y/ N

Breakfast Club Y/N     Paid Y/ N

After School Activities Y/N     Paid Y/ N

School Bus Y/N     Paid Y/ N

Homework Club Y/N     Paid Y/ N

Extra Tuition Y/N     Paid Y/ N

Brother/Sister at Waterfords International School

Name(s)     Sibling Discount Applied Y/N

Year group(s)

Address

Origin

Language Spoken at home:              English    Other (please specify)

Nationality

Religion Denomination

Previous school(s) attended & dates

Current Year Group/class

B. DETAILS OF PARENTS/GUARDIANS

FATHER

MOTHER

Title and initials

Surname

Relationship Father/Mother Uncle/Auntie/Guardian, etc

Daytime telephone

Mobile telephone

Email address

Occupation

Employer

How did you learn about the school?  Circle

Friend      Newspaper     Radio       Handbill        TV       Signpost Other (please specify):

Do you have any allergies?  Y/N If yes, please state

Are you on any medication?  Y/N If yes, please state

Parents Signature: _________________________________________                   Date: __________________

Please return form within 1 week of collection, supply 4 form copies, 2 passport photos, proof of age & medical with returned form.   Bank Payment/School Receipt Number                                School Stamp ..

For office use only                             Staff Signature & Date

Date Rec’d

Proof DoB

Date of Assessment

Year Group

Start Date

Fees

Uniform

Meals

After School

www.waterfordsschool.com enquiries@waterfordsschool.com

08036405092     08023171615       07065219808     08064017620     +447958639342

Nurturing for confidence, excellence & leadership