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Child's Particulars

Parents'/Guardian'sParticulars

Emergency Contact

Medical History

General Information

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Enrol With Us

This form will take 10 - 15 minutes to complete. You will need the following information: *Child's Birth Certificate / Passport No. *NRIC / Passport No. and employment details of Mother / Single Father / Guardian *All fields have to be filled up. Enter 'NA' if not applicable.

Branches

Programme

CHILD'S PARTICULARS

Name

Chinese Name

Gender

Date of Birth

Place of Birth

Birth Cert / Passport FIN / UNIN No.

Birth Order

No. of Siblings

Nationality

Race

Address

Postal Code

Language spoken at home

SIBLING INFORMATION

Do you have any child currently registered in Cherie Hearts?

TRANSPORTATION SERVICE

School Transport required

PARENTS' / GUARDIAN'S PARTICULARS

Father/Mother/Guardian Name (as in NRIC)

*NRIC / Passport / FIN / UNIN No

Father/Mother/Guardian Name (as in NRIC)

*NRIC / Passport / FIN / UNIN No.

Address

Postal Code

Home Contact

Office Tel

Mobile

Working Status

Occupation

Religion

Nationality

E-mail Address

EMERGENCY CONTACT (in the event that you and your spouse cannot be reached)

*Name (as in NRIC)

Relationship

Home Contact

Office Tel

Mobile

EMERGENCY CARE CONTACT (In The Event Of School Closure Due To Unforeseen Circumstances & Epidemic Situations)

Please select

Name (as in NRIC)

Relationship

Address

Email Address

Postal Code

MEDICAL HISTORY

Does your Child Have

If yes, please select

Allergies

Does your child have allergic reactions? E.g. foods, medicine, grass etc.

If yes, Please provide details

Medical Conditions

If you child has any of the above medical condition, please provide details:

Special Needs

Does your child have any special needs / challenging behaviours?

If yes, please provide details

Does your child regularly visit a specialist? E.g. speech therapist, etc.

If yes, please provide details

Medical Emergency

I understand in case of accident or emergency,

GENERAL INFORMATION

I Certify That All The Information Given Is True And Undertake To Inform The School Of Any Changes To The Above Information. And I Agree To The Following Permission:

  • I give permission for my child to be observed, photographed and/or videoed by the school teachers and student teachers for training purposes.
  • I give permission for my child's photography and artworks to be displayed in our school's portfolio work, newsletter, in-house training materials and publicity materials. This includes materials placed on our website.
  • I authorize my child to be taken on routine excursions or outings and will not hold the school responsible for any unforeseen mishap/accident. (Ample notice of such excursions or outings will be given to parents.)
  • If I move house and no seat is available in the class (due to a change of session) or a seat on the bus (due to full capacity), the school will not be able to accommodate my child and I have to make alternative arrangements for schooling or transportation.

Submitted by

Relationship to child

I have read and agree to

I have read and agree to