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Registration Form (Elementary and SPED)
School Year 2022 - 2023
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* Indicates required question
Email
*
Your email
Department
*
Elementary
SPED
Enrolled for:
*
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Other:
Complete Name (Last Name, First Name, Middle Name)
*
Your answer
Gender
*
Male
Female
Date of Birth (Month/Day/Year)
*
Your answer
Nationality
*
Your answer
Present Address
*
Your answer
Religious Affiliation
*
Your answer
Provincial Address
*
Your answer
Contact Number
*
Your answer
Father's Name
*
Your answer
Contact Number
*
Your answer
Mother's Name
*
Your answer
Contact Number
*
Your answer
Guardian/Person to contact in case of emergency
*
Your answer
Relationship to the child
*
Your answer
Address
*
Your answer
Contact Number
*
Your answer
School Last Attended
*
Your answer
School Year
*
Your answer
Address of School Last Attended
*
Your answer
*
Private
Public
Brothers/Sisters studying at Easter College and their grade level
Your answer
Is this learner member of Indigenous People Community?
*
Yes
No
If Yes, write ethnicity
*
Your answer
Mother Tongue
*
Your answer
Other spoken language
*
Your answer
Special Education Needs (for SPED)
Your answer
Documents to be submitted in school personally
New Student
card
photocopy of PSA
Permanent Form if available
Clear selection
Actual Modality
*
Modular Pick-up
Face to face Classes
Is the learner vaccinated against COVID-19?
*
Yes
No
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