ENROLLMENT
ENROLLMENT FORM
Please complete the enrollment form below.
Date Today*
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YOUR DETAILS
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Name of Person filling out this form (Surname, First Name, Middle Name)*
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Your Email*
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Relationship to Student*
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STUDENT DETAILS
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Name of Student (Surname, First Name, Middle Name)*
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Status*
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Student ID Number, if applicable
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Learner Reference Number (LRN), if applicable
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Entry Level for the Coming SY*
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SHS Strand, if applicable
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Date of Birth*
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Age*
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Place of Birth*
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Phone Number/Mobile Number*
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Email Address
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Last School Attended, if applicable (for new students)
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HEALTH DECLARATION
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Have you been diagnosed with a disability or a particular disease?*
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If yes, please clarify/provide detailed information.
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Do you suffer from any allergy, chronic or recurring?
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If yes, please clarify/provided detailed information.
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Are you taking medication or receiving medical treatment?
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If yes, please clarify/provide detailed information.
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Do you have restrictions for physical effort (ex. sports, swimming, etc.)?
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If yes, please clarify/provide detailed information.
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Have you been hospitalized or have undergone surgery in the last two years?
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If yes, please clarify/provide detailed information.
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Have you consulted with a psychologist/psychiatrist?
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If yes, please clarify/provide detailed information.
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Please write any additional information that we should know about your child's health.
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DATA PRIVACY STATEMENT
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I hereby agree to provide my child's personal records as defined by the Data Privacy Act of 2012 (RA 10173) to School of Saint Anthony for it to be utilized in accordance with his/her enrollment and in compliance with the Data Privacy Statement and its policies. This agreement shall be valid from the date that my child's personal information is collected until the period of its disposal, or until such time that I submit a written revocation/cessation of this agreement to the school, whichever comes first.*
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PAYMENT INFORMATION
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Mode of Payment Selected*
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Kindly upload your proof of payment via png or jpg file.*
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TAKE NOTE:
New Students Only
Once the enrollment form has been accomplished and submitted, and your child’s enrollment confirmed, kindly submit the following documents in person:
Original Report Card (SF 9) and Photocopy of PSA/NSO Birth Certificate
2x2 Photo on White Background
Photocopy of Baptismal Certificate
Accomplished Letter of Recommendation (form to be provided by CSA)
ESC-GASTPE Certificate issued by the school of origin, if applicable
Legal Guardianship Papers, if applicable
NCAE results for incoming SHS
Medical Certificate