Assalamu Alaikum Dear Parents,

Thank you for enrolling your child at Oceans Academy Full Day Program 8am-3:45pm Mon-Fri . Please complete all required fields and upload the necessary documents. For additional documents, email: [email protected]

Student info:

Student first name *

Student middle name *

Student last name *

What's the student date of birth? *

Address

Street Address *

City *

State *

Country *

Postal Code *

Student gender *

Grade level *

Parents info:

Father:

Father full name *

Father date of birth *

Father phone *

Father email address *

Mother:

Mother full name *

Mother date of birth *

Mother phone *

Mother email address *

Emergency Contact:

Emergency contact full name *

Emergency phone number *

Emergency contact relationship *

Guardianship (optional)

Guardian full name

Guardian phone number

Guardian email

Other than parents, who is authorized to pick-up your child? *

Medical Information:

Allergies:

Please describe the student type of allergy *

Medication:

Please indicate whether your child needs to take medication at school, and if it needs to be administered by an adult. *

Student Primary Care physician name *

Medical Insurance provider *

School record:

Student previous school:

School name *

School email address *

School phone number

School physical address *

TERMS AND CONDITIONS ACKNOWLEDGEMENT

By typing your full name below, you confirm that you have understood and agree to all the terms and conditions*

Enter your Signature below *

Clear

Birth Certificate *

Updated health form *

1 Passport Size Photograph *

Previous School Record/Transcript *