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Tiny Giants Academy – Student Registration

Student Registration Form

Tiny Giants Academy

Student Details

Last Name

First Name

Middle Name (optional)

Birth Certificate No

Class

Date

Religion

Sex

Date of Birth

Birthplace

Parent / Guardian Information

Mother / Guardian

Full Name

Religion

Occupation

Place of Occupation

Business Phone

Cell Phone

ID Number

Home Address

Father / Guardian

Full Name

Religion

Occupation

Place of Occupation

Business Phone

Cell Phone

ID Number

Home Address

Emergency & Collection Details

Emergency Contact

Name

Relationship

Phone

Address

Authorized Child Collection

Name

Relationship

Phone

Medical Information

This section is optional. If your child has no medical history, allergies, or medications, please enter N/A in the fields below or select None under Medical Conditions.

Medical History

Medications Taken Daily

Prescription Medication to be Taken at School

Medication Allergies

Food Allergies

Medical Conditions If other, please specify Emergency Instructions

Health Care Provider (Optional)

Name

Address

Phone Number

Declaration & Consent

By completing and submitting this form, the parent or legal guardian confirms that all information provided is true and accurate. This declaration serves as an electronic signature and has the same legal effect as a handwritten signature.

I confirm that I have read, understood, and agree to all information provided in this registration form.

I confirm that I am the parent or legal guardian of the child named in this form and that I am authorised to submit this information on their behalf.

I authorise Tiny Giants Academy to act in the best interest of my child in the event of a medical or other emergency.

Parent / Guardian Declaration Details

Please complete the details below. These details form part of the legal declaration.

Full Name

Relationship to Child

Phone Number

ID / Passport Number

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Student Registration Form

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Student Details

Parent / Guardian Information

Mother / Guardian

Father / Guardian

Emergency & Collection Details

Emergency Contact

Authorized Child Collection

Medical Information

Health Care Provider (Optional)

Declaration & Consent

Parent / Guardian Declaration Details

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