Pre-Registration English Form

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Our management team will be notified once the form is submitted and will contact you soon!

Grade registering for
Most important thing you hope your child accomplishes while attending Rosemont

Student Information
Full Name:
Date of Birth:
Gender
	Female
	Male
Home Address:
Country
Parent/Guardian Name(s):
Contact Number:
Email Address:

Emergency Contact Information
Name:
Relationship to Student:
Phone Number:

Previous Education
Name of Last School Attended:
Grade Completed:

Medical Information
Allergies:
	No
	Yes
If yes, please specify:

Additional Information
Preferred Language:
Transportation Needs
	No
	Yes
Any Other Relevant Notes
Name Parent/Guardian filling out this form:



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Phone
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Email

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