STUDENT APPLICATION

PARRY KINDERGARTEN (Bilingual School)

447 Phetchaburi 47 Alley, Lane 3-4, Bang Kapi, Huai Khwang, Bangkok 10310

Student Photo

Phone No. : 0850269966 Email: parrypie2015@gmail.com Website: www.parryschool.com

Student Enrollment Application Form

Student Information

Full Name:

Last First Middle

Nickname:

Last

Address:

Street Address Apartment/Unit #

City District ZIP Code

Date of Birth:

Nationality:

Passport No. / ID no.:

Issued date:

Expiry date:

Has the child been homeschooled?

Yes No

Previous School Record (If more than one, please list most recent first)

Age	Class Level	Name of School	City/ Country	From	To

Understanding of English Language:

Excellent Very Good Fair Poor

Friendship Pattern:

Makes Friends Easily Prefers Small Group of Friends Prefers to stay quiet and alone

Hobbies:

Medical Information

Food Allergies:

Does your child have any physical needs or limitations we need to know of?

Yes No

Please explain:

Does your child have any medical history of learning disabilities?

Yes No

Please explain:

In case of Emergency:

Contact Person Name:

Relationship:

Mobile Phone No.

Alternative Phone No.

Family Information

Parent 1 / Guardian 1 Details:

Full Name:

Last First Middle

Nickname:

Last

Home Address:

Street Address Apartment/Unit #

City District ZIP Code

Occupation:

Company Name:

Company Address:

Date of Birth:

Nationality:

Passport No. / ID no.:

Issued date:

Expiry date:

Mobile Phone Number:

Email Address:

Parent 2 / Guardian 2 Details:

Full Name:

Last First Middle

Nickname:

Last

Home Address:

Street Address Apartment/Unit #

City District ZIP Code

Occupation:

Company Name:

Company Address:

Date of Birth:

Nationality:

Passport No. / ID no.:

Issued date:

Expiry date:

Mobile Phone Number:

Email Address:

Marital Status of parents:

Married Divorced Single Others:

The child lives with:

Both Parents Father Mother Other Guardians:

No. of Siblings:

Sibling 1 Name:

Date of Birth:

Gender:

Does the sibling study in any of our institution?

Yes No

If Yes, which one? : St. Paul Nursery / Parry Kindergarten/ Parry Learning Center

Sibling 1 Name:

Date of Birth:

Gender:

Does the sibling study in any of our institution?

Yes No

If Yes, which one? : St. Paul Nursery / Parry Kindergarten/ Parry Learning Center

Financial Responsibility information

Details of the person responsible for the tuition and fees of the child:

Full Name:

Last First Middle

Relationship:

Last

Home Address:

Street Address Apartment/Unit #

City District ZIP Code

Mobile Phone Number:

Email Address:

Bank Account No.:

Passport No. / ID no.:

Issued date:

Expiry date:

Occupation:

Company Name:

General Survey

How did you know about Parry Kindergarten School?

Friends or Family BAMBI Magazine Facebook Ad

School Website Google Search Others:

What are the most important factors for you when choosing a school?

English Language Curriculum Small group class size School’s Brand Name size

Location Affordable Tuition Fee Others:

Do you follow us on our Facebook page?

Yes

Was it easy for you to find our school?

Yes

Are you interested to use the school transportation?

Yes, please provide information

Not interested

For Official Use Only

Date of Application:

Grade Accepted For:

Term:

Assisted by:

Assessment Test:

Result:

Comments:

Student Enrollment#:

Grade Accepted For:

Starting Term: