New Life Leadership Academy Registration Form Term one Academic Year 2020/2021
This form is required as the first step to registering at New Life Leadership Academy
Email address *
Student First (Given) Name (eg. Eric) *
Please use Upper Case ONLY for first letter of name.
Student Last (Family) Name (eg. Mugisha) *
Please use Upper Case ONLY for first letter of name.
Father's (Given & Last) Names (eg. Mugisha Emmanuel) *
Please use Upper Case ONLY for first letter of name.
Father's e-mail Address *
This email will be used to complete the registration process.
Father's Phone Number *
We will use this number for contact regarding the student's application status and future communication
Mother's (Given & Last) Names (eg. Munezero Charon) *
Please use Upper Case ONLY for first letter of name.
Mother's e-mail Address *
This email will be used to complete the registration process
Mother's Phone Number *
We will use this number for contact regarding the student's application status and future communication
Who is the primary contact? *
We will use this number for contact regarding the student's application status and future communication
Grade Choice *
We will use this number for contact regarding the student's application status and future communication
Date of Birth *
MM
/
DD
/
YYYY
Area of Specialization (Grade 9-12 only) *
eg. Humanities: (History, Economics, Geography)eg. Sciences: (Physics, Chemistry, Biology)
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