Student Information Form Student Information FormStudent Last Name*Student First Name*Gender*Date of Birth* Date Format: MM slash DD slash YYYY Applying to Grade*Pre-KindergartenKindergartenGrade 1Grade 2Grade 3Grade 4Grade 5Grade 6Grade 7Grade 8Current GradePre-KindergartenKindergartenGrade 1Grade 2Grade 3Grade 4Grade 5Grade 6Grade 7Grade 8Applying for Academic Year*Current SchoolTesting:Has your child ever been assessed for:* Vision Hearing Speech Education Other None Other*Explain how (if at all) this may impact programming for your childMedical:Does your child have any medical needs or allergies?*YesNoIf so, provide further detail or impact on school programming (if at all)PARENT/GUARDIAN INFORMATIONParent/Guardian #1 Contact InformationParent/Guardian #1 Last Name*Parent/Guardian #1 First Name*Home Address*Cell Phone Number*Work Phone NumberHome Phone NumberEmail* Employer/PositionParent/Guardian #2 Contact InformationParent/Guardian #2 Last NameParent/Guardian #2 First NameHome Address (if different from above)Cell Phone NumberWork Phone NumberHome Phone NumberEmail Employer/PositionWhich Star Academy Programme(s) are you interested in for your child?* Academic Programme ESL or Tutoring Support When are you considering a potential move to a new school?*ImmediatePlease give two reasons for considering Star Academy as a school choice1. 2. What sports, groups, or activities does your child enjoy outside of school?What are your main questions to have answered when you meet and tour our school?Please add any additional information you would like us to knowHow did you hear about us?* Social Media Google Website Referral Word of Mouth Other Other*
