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Tiny Giants Academy – Student Registration

Student Registration Form

Tiny Giants Academy

Student Details

Last Name

First Name

Middle Name

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

Medical History

Medication Allergies

Food Allergies

Daily Medication

Life‑threatening conditions

Diabetes Asthma Seizures Severe Allergies

Emergency Instructions

Consent & Declaration

I authorize Tiny Giants Academy to release medical information in emergencies.

I consent to photography and media usage as outlined by the school.

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Registration Submitted!

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Student Registration Form

Student Details

Parent / Guardian Information

Mother / Guardian

Father / Guardian

Emergency & Collection Details

Emergency Contact

Authorized Child Collection

Medical Information

Consent & Declaration

Registration Submitted!

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