Student Registration Form

APPLICATION INSTRUCTIONS

Student Information

Student first name

Student last name

Student preferred name

Student contact email

Grade entering

Student nationality

Student gender

Student date of birth

Student's preferred messaging app

Messaging app ID

Student's mobile phone

Student's home phone

Address (Student's)

Address 2 (Student's)

City (Student's)

State / Province (Student's)

Postal Code (Student's)

Country (Student's)

School name

City school is located in

State school is located in