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Child's First Name (s) Surname / Last Name Child's Date of Birth Child's Home Address

(This must be the address where the child lives.)

Hobbies / Awards Previous Academic School Attended

(Please specify only the previous school the child has attended)

Siblings of the Child

(Please specify if the child has any siblings)

Learning Support

(Please specify if our child has had any Special Educational Assessment and diagnosed with a learning difficulty of any kind)

Emergency Contact

(please tick here if same as parents details)

Please tick the appropriate box. Do not leave blanks.

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If yes, what kind?

I give permission to the American Academy (Private), to give emergency First Aid to my child as required and to seek medical help in the event of an accident of other circumstances arising during school hours, which may require urgent attention. I understand that the school will contact me/us as soon as practically possible. In case of an emergency at the school your child will automatically be taken to the General Hospital unless you state below that you wish your child to be taken to another clinic at your own expense.

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I read and understood the declaration above as well as authorise the school to give our child medication, if needed, Panadol and/or Paracetamol.

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We authorise the school to pass on our name, telephone, fax, email and business details for inclusion in the P.T.A. Business Directory, to be sent information and promotional material for Schools' events and services for communicational purposes. We authorise the school to pass on our child's personal information to official government departments. We accept that our child can participate in any promotional material for the School like advertising flyers, leaflets, brochures, videos and Internet marketing.