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New Life Leadership Academy Registration Form Term one Academic Year 2020/2021
This form is required as the first step to registering at New Life Leadership Academy
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* Indicates required question
Email
*
Your email
Student First (Given) Name (eg. Eric)
*
Please use Upper Case ONLY for first letter of name.
Your answer
Student Last (Family) Name (eg. Mugisha)
*
Please use Upper Case ONLY for first letter of name.
Your answer
Father's (Given & Last) Names (eg. Mugisha Emmanuel)
*
Please use Upper Case ONLY for first letter of name.
Your answer
Father's e-mail Address
*
This email will be used to complete the registration process.
Your answer
Father's Phone Number
*
We will use this number for contact regarding the student's application status and future communication
Your answer
Mother's (Given & Last) Names (eg. Munezero Charon)
*
Please use Upper Case ONLY for first letter of name.
Your answer
Mother's e-mail Address
*
This email will be used to complete the registration process
Your answer
Mother's Phone Number
*
We will use this number for contact regarding the student's application status and future communication
Your answer
Who is the primary contact?
*
We will use this number for contact regarding the student's application status and future communication
Father
Mother
Other:
Grade Choice
*
We will use this number for contact regarding the student's application status and future communication
Senior 1/ Grade 7
Not applicable (child not in Senior 1 or Grade 7)
Other:
Date of Birth
*
MM
/
DD
/
YYYY
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