Application Form

STUDENT DETAILS (Please fill in block letters)

LAST SCHOOLS ATTENDED

Has this child ever been suspended or expelled from school? Yes/No

NB: Any discipline problems at the previous school must be declared and discussed. FAILURE TO MAKE A COMPLETE DECLARATION ENTITLES RIVIERA HIGH SCHOOL TO EXCLUDE THE STUDENT AT ANY TIME.

FAMILY CONNECTIONS TO THE SCHOOL

FAMILY INFORMATION (Father/Guardian Primary Care Giver Contact Details )

FAMILY INFORMATION (MOTHER/Guardian Primary Care Giver Contact Details )

OTHER CONTACT PERSONS

EMERGENCY CONTACT DETAILS

Who is responsible for paying the student’s school fees? (Tick)Father/Mother/Guardian/NGO/Parent’s Employer If fees are paid by Guardian, NGO or Parent’s Employer, please give details below:

I declare that the information given on this form is correct and true. I permit my child’s full participation in all the activities included in the school curriculum. I accept to pay all fees and dues before the student joins the school and before the start of each term. I have read and understood the school rules including the major disciplinary sanctions.