ONLINE PUPIL ENROLMENT FORM

I. PUPIL DETAILS

* Indicates required field

Name *

First

Last

Select One *

Date of birth (dd-mm-yyyy) *

Identification Number (passport/pesel) *

Address *

Line 1

Line 2

City

State

Zip Code

Country

First Language of child *

Date Starting at SAIL *

planned leaving date *

Country of Birth *

City of Birth *

Nationailty *

Religion *

Second Language of child (if any) *

Which class is your child enrolling to? *

Name of current or previous school *

Country and City of current or previous school *

II. PARENT/CARER DETAILS

1. Mother

Name *

First

Last

date of birth (dd-mm-yyyy) *

Address if different than child's *

Line 1

Line 2

City

State

Zip Code

Country

Nationality *

I.D. Type (ex. passport) *

Identification Number *

Phone Number *

Email *

Work Place *

2. Farther

Name *

First

Last

date of birth (dd-mm-yyyy) *

Address if different than the child's *

Line 1

Line 2

City

State

Zip Code

Country

Nationality *

I.D. Type *

I.D. Number *

Phone Number *

Email *

Work place *

III. ADDITIONAL INFORMATION ABOUT THE PUPIL

1. Medical information

Does you child have any medical conditions, which our school needs to know about i.e. allergies/ medical treatment/ medical information? *

Does you child have any diagnosed disabilities? *

2. Photograph permission

I give permission for photos taken of my child to appear on *

3. Safeguarding

Are there any issues we need to be aware of in order to safeguard your child effectively at school? *

IV. PERSONAL DATA PROCESSING

Under the basis of the Law of Personal Data Protection dated 29 August 1997. (Dz. U. 2016 No 922) I give permission for SAIL Sp. z O. O. (governing body of Szczecin Academy of International Learning to use this information for:

Please check *

Enrolling my child Didactic care and education purposes I undertand that the school will keep this information confidential

Submit