S c h o o l R e g i s t r a t i o n RBISIR

STUDENT INFO

FULL NAME*

DATE OF BIRTH *

GENDER *

CLASS TO ENROLL *

PARENT/GUARDIAN INFO

FULL NAME *

RELATION *

EMAIL *

PHONE NUMBER *

ADDRESS INFO ADDRESS LINE 1 * ADDRESS LINE 2

CITY *

STATE/PROVINCE *

ZIP/POSTAL INDEX CODE *

COUNTRY *

ADDITIONAL DETAILS ANY MEDICAL CONDITIONS, ALLERGIES OR NOTES I AGREE TO THE TERMS AND CONDITIONS *