Tots' Palace Application Form - Kampala Kindergarten Association

CHILD'S PARTICULARS

Name of Child (First Name) *

Surname *

Sex *

Date of Birth *

Nationality *

Religion

Health Problem (If any)

PARTICULARS OF OTHER CHILDREN

State if this child is the first born.

Name
School Presently Attending
Age

Have any of your children attended Kampala Kindergarten?

YesNo

Specify (Period)

PARTICULARS OF PARENTS

Father's Details

Father's Name *

Profession (Specify details)

Place of Work (Shop/Company/Place)

Address

Telephone

Email

Mother's Details

Mother's Name *

Profession (Specify details)

Place of Work (Shop/Company/Place)

Address

Telephone

Email

Residence & Emergency Contact

Area of Residence (L.C. 1)

Street / Plot No.

Home Telephone

Emergency Contact Name *

Telephone *

When do you want the child to begin attending the Daycare Center?

DECLARATION

I hereby undertake to observe the rules and regulations
laid down by the school and to pay the school fees promptly
plus any additional expenses.

I certify that the foregoing particulars are correct.

Signature of the Applicant *

Date

I confirm that the information provided is correct and I agree to the school's rules and regulations.

Tots’ Palace Application Form