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Admission Form
Admission Form
Admission For
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TODD CARE
NURSERY (Primer)
Jr KG (Primer A)
Sr KG (Primer B)
Name of Child
First Name
*
Middle Name
Last Name
*
Date of Birth
Blood Group
Gender
Male
Female
Place of Birth
*
Height (in cm)
*
Weight
Residential Address
State
City
Pincode
Phone No
Mobile No
Emergency Details
Name:
*
Phone No
Mobile No
Language known by child
English
Hindi
Others
Specify
Any allergy, disability, or other physical/medical conditions which your child has, or is at risk about which the Pre-school should be aware of-
*
Name of family Physician/Pediatrician
Mobile Number
Parents Informarion
Father's Name
*
Education
*
Occupation
*
Designation
Organisation
Office Address
Phone number (Office)
Email id
*
Mother's Name
*
Education
*
Occupation
*
Designation
Organisation
Office Address
Phone number (Office)
Email id
Siblings Information
Brother's Name
School
Std
Sister's name
School
Std
How did you get to know of "Trinity Juniors"?
*
Newspaper Ad
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Word of mouth
Others
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Parents Undertaking
To,
*
Date
*
Sub : All or any field trips or excursions
I,
*
*
Father
Mother
Guardian
of Miss/Master
Enrolled at your school, hereby willingly permit my son/daughter to go for all trips/excurstions required for his/her studies.
I understand that the teachers/escorts accompanying the students implicity undertake to do everything humanly possible for the well being and the safety of the children inside and/or outside the center, and act in good faith towards this end.
However, I also realize that no one can be held liable for mishaps or accidents occuring due to circumstances beyond their control, acts of God or Nature.
In that event, I hereby absolve the school & their reprentatives from any liability, and waive all claims arising thereafter.
Yours truly,
Parent's Signature
(write full name)
Date
*
Place
*
Verification
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