NEW STUDENT APPLICATION

APPLICANT APPLYING FOR : EARLY ACTIVE KINDER SENIOR KINDER

LEARNER LEARNER EXPLORER

Student _______________________________________________________________________________________________________________
Last First Middle Nickname
Home Address ________________________________________________________________________________________________________
________________________________________________________________________________________________________

Home Phone ____________________ : Male Female Date of Birth (DOB)______________________________

Place of Birth __________________________________________________________________________________________________________

Language spoken at home _____________________________________ Other Languages _____________________________________

Month/Year of Proposed Entrance ______________________________________________________________________________________

Present School ________________________________________________________ CurrentLevel___________________________________

School Address ________________________________________________________________________________________________________

________________________________________________________________________________________________________

If your child is transferring from another school, include your reason for doing so ___________________________________________

________________________________________________________________________________________________________________________

Please list Applicant’s Siblings:

Name _____________________________ DOB ___________________ School _______________________________ Grade _____________

Name _____________________________ DOB ___________________ School _______________________________ Grade _____________

Name _____________________________ DOB ___________________ School _______________________________ Grade _____________

Name _____________________________ DOB ___________________ School _______________________________ Grade _____________

Do you have any family members or close friends in your present residence? Yes No

Are there any other adults who share responsibility for the child at home? Yes No

Name of Additional Caregiver _____________________________________________ Relationship to Student _____________________

Mother / Guardian

Name _________________________________________________________________________________________________________________

Home Address _________________________________________________________________________________________________________

________________________________________________________________________________________________________

Home Phone ______________________________________ Mobile No. _________________________________________________________

Business Phone ____________________________________ Email ______________________________________________________________

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Occupation ______________________________________ Name of Company _________________________________________________

Company Address _____________________________________________________________________________________________________

Father / Guardian

Name _________________________________________________________________________________________________________________

Home Address (If different) _____________________________________________________________________________________________

_______________________________________________________________________________________________________

Home Phone ______________________________________ Mobile No. ________________________________________________________

Business Phone ____________________________________ Email ______________________________________________________________

Occupation ______________________________________ Name of Company _________________________________________________

Company Address _____________________________________________________________________________________________________

Applicant lives with: Both Parents, Together Both Parents, Alternately

Father Mother others (specify) ________________

Who is financially responsible for payment of tuition and other school expenses? __________________________________________

In Case of Emergency

Name __________________________________________________________ Relationship __________________________________________

Contact Numbers ______________________________________________________________________________________________________

Home Address _________________________________________________________________________________________________________

_________________________________________________________________________________________________________

How did you hear about BRIGHT RIDGE? Current Bright Ridge Family Friend Other ____________________

I understand that this application will be for my child’s reference and will remain confidential. I will provide a copy of previous
school records and other requirements when an assessment interview is arranged. I am enclosing my reservation and
miscellaneous fees with this application. Please make checks payable to BRIGHT RIDGE PRESCHOOL INC.

________________________________________________________ ________________________________________________________
Signature of Parent / Guardian Date

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