Stepping Stones Pre-Primary School

Enrolment Form 2013






Childs Name & Surname*
FirstLast



* Given Name*


Child's Gender*


Date of Birth*
 

Home Language*


Home Telephone Number*


Home Address*
Street AddressAddress Line 2CityZIP / Postal Code



Postal Address*
Street AddressAddress Line 2CityState / Province / RegionZIP / Postal Code


Country




Parental Details

Father Name & Surname
FirstLast



Place of Work*


Occupation*


Cell. No*


Work No*





Mother Name & Surname*
FirstLast



Cell. No


Place of Work*


Occupation*


Work No.*



Further Details

Child's Future Primary School


Family's Religion


Position of Child in Family*


Other Children in Family



Emergency Healt Information

House Doctor*


Doctor Number*


Allergies*


Phone

This field is for validation purposes and should be left unchanged.