2022 SAASS Re-Registration Form
The information on this form has to be true and accurate as possible.
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Child's Full Name (Last Name, First Name, Other name/s) *
Gender of child *
Date of Birth (month/day/year) *
MM
/
DD
/
YYYY
Country of Birth *
Current address *
Religion (denomination) *
Mother’s Name *
Mother’s address *
Mother’s phone numbers: Home, work, mobile *
Mother’s email address
Father’s Name
Father’s address
Father’s phone numbers: Home, work, mobile
Father’s email address
Emergency Contact: Primary: Name & Telephone number
Emergency Contact: Secondary: Name & telephone number
Medical issue Medical Authorization: I understand that in the event of an accident or illness, every effort will be made to contact the parent/guardian immediately. If parent/guardian is not reached, I authorize school authorities to obtain medical care for my child.  Parent/guardian signature (Name in case of electronic) & date *
Information on other siblings attending SAASS Name & Form (If any)
Verification of Information: The information on this form is true and accurate up to this date Ownership of information: I understand that the information on this form is for the school’s and the Ministry of Education’s use Parent/guardian’s Signature (Name in the case of electronic) and Date *
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