Child's Particulars
Parents'/Guardian'sParticulars
Emergency Contact
Medical History
General Information
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.
