Babies and Toddlers online application

CHILD'S DETAILS

Family Name*

First Name*

Chinese Name (if any)

Male/Female*
MaleFemale

Current Age* :

Date of Birth*

Country of Birth*

Nationality*

Other Nationality (if any)

Is the applicant a HK permanent resident :YesNo

HKID No.*

If No HKID, please provide passport No.*:

Home Address

Unit and Floor*
Building*
Street*

District*

If application does not yet live in Hong Kong, when do you plan to arrive/expected start date of school*

Expected Join Date*

Please provide the date you and /or your child would like to start school(if necessary, please check with our Admissions Office for further details / timetable)

Language spoken at home*
CantoneseEnglishPutonghuaOthers

if others, please specify

One adult must accompany and participate in the babies and Toddlers, please indicate below will be accompanying your child:
FatherMotherOthers

if others, please specify

Guardian's Details

Please Select Guardian:Father / Guardian 1Mother / Guardian 2

Father/Guardian 1’s Family Name*

First Name*

Hong Kong permanent resident?YesNo

HKID / Passport No.:

Marital Status:
MarriedWidowedSingle

Email Address*

Mobile Phone*

Father/Guardian 1’s First language*

Second Language(s) (if any)

Residential Address (if different)

Mother/Guardian 2’s Family Name*

First Name*

Hong Kong permanent resident?YesNo

HKID / Passport No.:

Marital Status:
MarriedWidowedSingle

Email Address*

Mobile Phone*

Mother/Guardian 2’s First language*

Second Language(s) (if any)

Residential Address (if different)

Emergency Contact Person

Name*

Mobile Phone*

Relationship with Application*

Referral Information

Did any person refer you to our Babies and Toddlers Programme? If yes, please provide further information for our membership benefit programme.
YesNo

Name of Referral Person*
Referral Person Mobile No
Referral Person's child name
Class attending (if know)

Would both parents like to receive email correspondence?YesNo

If NOT, please indicate which parent

Father/Guardian 1 ONLYMother/Guardian 2 ONLY

Applying for:

Babies and Toddlers Programmes

Applying for academic year:2017-20182018-20192019-2020

Others

Does the applicant have any allergies(eg. food, medication)? YesNo

If yes, please tell us more

Any other information about the applicant, that you feel may be helpful for us?

Notes:
Submit the following documents upon application:

1. Copy of Child's birthday certificate (file size: 1MB, file format: jpg/ pdf)
2. Copy of both Parents' Hong Kong ID Card (file size: 1MB, file format: jpg/ pdf)
3. Copy of Child's immunisation Record (file size: 1MB, file format: jpg/ pdf)

Signature and Declaration
I declare that the information provided is true, complete and accurate. I provide permission to Mount Kelly School Hong Kong to seek medical assistance for my child in the event of an emergency and I will bear full financial responsibility for any cost incurred
I understand and agree with all the Terms and Conditions for the programme.
I provide permission to use images of my child participating in school activities for promotional material such as advertisements, videos, websites and other social media.