Christ Church Foundation School Adult/Continuing Education Programme
Email address *
Instructions: Please complete this form by typing in the space provided or by clicking the appropriate box. Fields with the * must be completed.
Surname *
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First name *
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Other names
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Sex *
Date of Birth *
MM
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DD
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YYYY
Identification Number *
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Address line 1 *
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Address line 2 *
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Parish *
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Cell phone number *
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Land line number *
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Please indicate the subject you wish to study, the level you have reached and the evening you prefer (where there are two evenings)
Subject 1 *
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Level for subject 1 *
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Day for Subject 1 *
Subject 2
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Level for subject 2
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Day for Subject 2
Subject 3
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Level for subject 3
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Day for Subject 3
Subject 4
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Level for subject 4
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Day for Subject 4
Agreement:
I (enter full name below) *
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agree to pay the non-refundable registration fee of fifty dollars ($50) and the course fee of
Enter amount below *
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You will be required to sign and date this document on payment of the registration fee.
Examinations fees are paid separately.
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This form was created inside of Christ Church Foundation.