Registration Form
   
Students Details
   
Nickname:
Date of Birth: (mm/dd/yyyy)
Age: Male Female
Nationality:
Languages/ spoken at home:
Enrolling in class Full day half day (AM) half day (PM)
Please specify the student s health condition if it requires any special attention:
Please specify if the student has any allergies/medical conditions/special dietary requirement or restrictions (optional):
Date of Enrolment: (mm/dd/yyyy)
To receive the centres regular updates/letters by:
My preferred mobile number for receiving sms is:
   
Parents Details
   
Fathers Name:
Contact Name:
Mothers Name:
Contact Name:
   
  Privacy Policy: --- SAMPLE TE

I am giving CCDC the consent to use my childs photographs, videos and images in any/all of the Centres promotional materials.
I am not giving CCDC the consent to use my childs photographs, videos and images in any/all of the Centres promotional materials.