Language
English (UK)
Korean International School G3 2023
Hai Tong Kai - 1st June
Hi there!
We ask you to fill out this form carefully and fully, this will help us cater your experience for you! It should only take a few minutes too :)
Child's Name
*
Child's Date of Birth
*
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Day
January
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Month
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Year
Gender
*
Please Select
Male
Female
Gender Diverse
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Main Contact Name
*
First Name
Last Name
Main Contact Number
*
-
+852
12345678
Main Contact E-Mail
*
example@example.com
Relationship with Child
*
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Emergency Contact Name
*
First Name
Last Name
Emergency Contact Number
*
-
+852
12345678
Emergency Contact E-Mail
*
example@example.com
Relationship with Child
*
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Child's Sight
*
Perfect
Fine (minor short-sightedness or long-sightedness)
Okay (needs corrective lenses for most activities)
Poor (needs corrective lenses at all times)
Child's Physical Condition
*
Excellent
Fine
Okay
Poor
Child's Swimming Ability
*
Poor/ can't swim
Okay, can swim but prefers using a float
Fine, can swim without using aids
Excellent
Anything to note emotionally or behaviourally?
*
ASD (Autism Spectrum Disorder)
Special Education Needs
ADHD (Attention Deficit Hyperactivity Disorder)
Anxiety
Depression
None of the above
Child's Allergies / Intolerances
*
Medicine (please provide details below)
Animals / insects (please provide details below)
Plants (please provide details below)
Gluten Intolerance
Lactose Intolerance
None
Other
Allergy details
Level of Allergic Reaction
Please Select
Minor - skin irritation
Major - hives, large rashes
Severe - anaphylaxis
Will your child carry an EpiPen?
*
Yes
No
Will your child carry an asthma inhaler?
*
Yes
No
Anything else we need to know?
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Do you give permission for staff to take photos and videos for marketing purposes?
*
Yes
No
Please write your name to confirm all details on this form are true and correct.
*
Submit
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