Application Form

KING DAVID’S MONTESSORI SCHOOL

30, Road F, Nitel Estate, Off Awolowo Way, Ikorodu.

Email: info@kingdavidsschool.com

STUDENT ADMISSION / REGISTRATION FORM

Application Form

User Image

Maximum file size: 516MB

A. PUPIL’S INFORMATION

Full Name of Child

First Name

Last Name

Date of Birth

Age

Gender

Male

Female

Home Address

City

State of Origin

Zip/Postal

Nationality

Religion (Optional):

B. PARENT / GUARDIAN INFORMATION
Father’s Details

Full Name

First Name

Last Name

Phone Number

Occupation

Home Address (if different)

Mother’s Details

Full Name

First Name

Last Name

Phone Number

Occupation

Home Address (if different)

C. AUTHORIZED PERSONS TO PICK UP THE CHILD
Only the following persons are allowed to pick up the child from school:

Father’s Name

First Name

Last Name

Mother’s Name

First Name

Last Name

Maid / Caregiver’s Name

First Name

Last Name

Relationship

Phone Number

Nin details

Address

⚠️ The school must be informed in writing if there is any change to this list.
D. MEDICAL INFORMATION

Blood Group (if known)

Does the child have any allergies?

Yes

If yes, please specify

Does the child have any medical condition?

Yes

If yes, please explain

Is the child currently on any medication?

Yes

If yes, state details

Name of Family Doctor / Hospital

First Name

Last Name

Emergency Contact Number

Parent/Guardian Name

I agree to abide by the rules and regulations of King David’s Montessori School.

I also give consent for the school to administer basic first aid or emergency care if necessary.

Parent/Guardian Name

First Name

Last Name

Signature

Clear

Date

FOR OFFICIAL USE ONLY

Admission Number

Class Admitted Into

Fees Paid

Date

Signature & Stamp

Clear

Date of Admission

Session

Class Applied For

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