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Student
Please enter information for the student
Surname
*
Your answer
Firstname
*
Your answer
Middle Name(s)
*
Your answer
Sex
*
Choose
Male
Female
Date of Birth
*
MM
/
DD
/
YYYY
National ID (include dash)
*
Your answer
Country of Birth
*
Barbados
Other:
Nationality
*
Barbadian
Other:
Street Address
*
Your answer
Parish
*
Choose
Christ Church
St. Andrew
St. George
St. James
St. John
St. Joseph
St. Lucy
St Michael
St. Peter
St. Phillip
St. Thomas
Student Medical Information
Medical Conditions
Your answer
Allergies
Your answer
Primary School attended
*
Your answer
Parent/Guardian 1
Please enter information for the parent/ guardian with whom the child presently resides.
Surname
*
Your answer
First Name
*
Your answer
Relationship to student
*
Mother
Father
Other:
Street Address
*
Your answer
Parish
*
Choose
Christ Church
St. Andrew
St. George
St. James
St. John
St. Joseph
St. Lucy
St Michael
St. Peter
St. Phillip
St. Thomas
Email address
Your answer
Home number
Your answer
Work number
Your answer
Cell number
Your answer
Parent/Guardian 2
Surname
Your answer
Firstname
Your answer
Relationship to student
*
Mother
Father
Other:
Street Address
*
Your answer
Parish
*
Choose
Christ Church
St. Andrew
St. George
St. James
St. John
St. Joseph
St. Lucy
St Michael
St. Peter
St. Phillip
St. Thomas
Email address
Your answer
Home number
Your answer
Work number
Your answer
Cell number
Your answer
Does your child/ward need a device to participate in Online Classes
*
Yes
No
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