BSI Student Registration Form

Fields marked with an * are required

Child’s First Name *

Child’s Last Name *

Preferred Name

Gender

Male Female

Date of Birth *

Nationality *

First Language *

Year Level *

Have you registered at other school? If so, where? *

Home Address *

Phone Number *

Name of one parent/ guardian

Parent/Guardian Cell Phone Number

Parent/Guardian Personal Email

Siblings already enrolled in BSI *

None 1 2 3

How do you see your child as a learner? *

How does your child learn best? *

I declare with my signature that the information provided in this form is true and accurate.

Date

Are you human?