Household Name (required)

Address 1 (required)

Address 2

City (required)

State (required)

Country(required)

Relation to Applicant
—Please choose an option—FatherMotherGuardian

First Name(required)

Last Name(required)

Personal Email(required)

Mobile Phone(required)

If this parent's address differs from the address above, please enter the appropriate address here.

Address 2

City

State

Country

First Name(required)

Middle Name(required)

Last Name(required)

Preferred Name

Select Gender
MaleFemale

Date of Birth (required)

Place of Birth (required)

Current Grade
—Please choose an option—Preschool ButterflyPreschool CaterpillarKindergartenPrimary 1Primary 2Primary 3Primary 4Primary 5Primary 6JS 1JS 2JS 3

Grade Applying For (required)
—Please choose an option—Preschool ButterflyPreschool CaterpillarKindergartenPrimary 1Primary 2Primary 3Primary 4Primary 5Primary 6JS 1JS 2JS 3

Year Applying For (required)
—Please choose an option—2020202120222023

Current School

City

State

Does your child have any special interests or talents that you would like us to know about?