Registration Date*Please fill in the Registration Date

dd/mm/yyyy

Childs Names*Please fill in the Childs Names

First

Last

Date Of Birth*Please fill in the date of birth

dd/mm/yyyy

Gender*Select Male or Female

Male

Female

Grade *Please select the appropriate grade being applied for.

Grade 8

Grade 9

Grade 10

Grade 11

Grade 12

Special Educational needsPlease tick the appropriate option/s

Any other special educational needs

Parent/Guardian's Name*Please fill in the parent/guardian's

First

Last

Relationship to the child*

Office/Work/Bussiness Phone number*

Cell Phone/Residential Phone number*

Email*

Home Address*Please indicate your home address in full

Address 1

Address 2

City

State

Postal Code

Country

Bussiness Address*Please indicate your work/office/bussiness address in full

Address 1

Address 2

City

State

Postal Code

Country

KHS Gallery

School Calender/Events

Secondary Registration Form

Open Discusion

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