FOR OFFICIAL USE ONLY ENROLLMENT YR: ASSIGNED SCHOOL Registration Form YEAR UPN NUMBER: Student’s Information First Name: Middle Name: Gender: Male Female Age before 1st Country of Birth: Sept: If your child is not Caymanian is she/he: Dependent of a Caymanian Dependent of a Civil Servant (attach Contract) District: Primary Parent/Guardian First Name: Relationship to student: Address: District: PO Box: Post Code: Phone: Ext. Home Phone: Email: Secondary Parent/Guardian First Name: Relationship to student: Address: District: PO Box: Post Code: Phone: Ext. Home Phone: Email: Emergency Contact Information (Different from Parents/Guardians) First Name: Telephone: Email: First Name: Telephone: Email: First Name: Telephone: Email: Parental Responsibility/Legal Custody above in sections 2 and 2.1 have parental responsibility of the child? Yes No and sealed Court documents showing who has parental responsibility. List Brothers or Sisters enrolled in Cayman Islands Government Schools First Name School Current Year Group
Registration Form FOR OFFICIAL USE ONLY ENROLLMENT YR: ASSIGNED SCHOOL YEAR UPN NUMBER: Student’s Information First Name: Middle Name: Gender: Male Female Age before 1st Sept: Country of Birth: If your child is not Caymanian is she/he: Dependent of a Caymanian Dependent of a Civil Servant (attach Contract) District: Primary Parent/Guardian First Name: Relationship to student: Address: District: PO Box: Post Code: Phone: Ext. Home Phone: Email: Secondary Parent/Guardian First Name: Relationship to student: Address: District: PO Box: Post Code: Phone: Ext. Home Phone: Email: Emergency Contact Information (Different from Parents/Guardians) First Name: Telephone: Email: First Name: Telephone: Email: First Name: Telephone: Email: Parental Responsibility/Legal Custody above in sections 2 and 2.1 have parental responsibility of the child? Yes No and sealed Court documents showing who has parental responsibility. List Brothers or Sisters enrolled in Cayman Islands Government Schools First Name School Current Year Group
DES%20Student%20Registration%20Form%20-Revised%20-2.docx