JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Registration Form
School Year 2022- 2023
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Student Profile
LRN (write 000 if you do not know this information)
*
Your answer
Grade level this S.Y. 2022-2023
*
Choose
Nursery (3 years old by October 30, 2022)
Junior Prep (4 years old by October 30, 2022)
Senior Prep (5 years old by October 30, 2022)
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
First Name
*
Your answer
Middle Name
*
Your answer
Last Name
*
Your answer
Name Extension
Your answer
Nickname
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Place of Birth
*
Your answer
Sex
*
Male
Female
Permanent Address
*
Your answer
Current Address
*
Same as above
Other:
Mobile Phone
Your answer
E-mail Address
Your answer
Mother Tongue
*
Hiligaynon
Karay-a
English
Other:
Religion
*
Your answer
Does the learner have any previous record in this school?
*
Yes, S/he is an OLD Student
No, S/he is a NEW Student
No, S/he is a transferee from another school
Next
Page 1 of 6
Clear form
Never submit passwords through Google Forms.
This form was created inside of Exploring Minds Academy of Learning.
Report Abuse
Forms
