ABIETENE ACADEMY · ABULOMA — PORT HARCOURT

ADMISSION FORM

Please write in block letters

1 · Child's Details

Gender

2 · Parent's Details

Mother

Father

Please ensure you include the following with your application:

  1. Fully completed application form
  2. Bank draft covering full school fees
  3. Child's birth certificate
  4. Child's immunization card
  5. One passport photograph each of child, mother and father
  6. Report/result from previous school

3 · Accident Form

In the event of (child's name) requiring medical attention for any reason during school or during any activities under the supervision of the school, I consent to his/her referral to such doctor or hospital authority as the school shall see fit.

I also consent to the Doctor or Hospital Authority concerned carrying out such treatment or operative measures as may be considered necessary, including the administration of general or other anaesthetics. I understand that the school authorities will make every effort to contact me first.

Your information is used only to assess this application and communicate with your family. Do not include passwords or financial account details.

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