Application Form 1. Student Personal InformationFull Name of the Student *Please provide the full legal name of your child as it appears on their birth certificate.Date of Birth *Enter your child's date of birth in the format: DD/MM/YYYY.Select *GenderMaleFemaleSelect your child’s gender.Select Nationality *NationalityKenyaAfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwePlease specify your child’s nationality.2. Parent/Guardian Information:Full Name of Parent/Guardian *Provide the full name of the parent or guardian responsible for the child's admission.Relationship to Student *Relationship to StudentFatherMotherGuardianPlease select your relationship to the child.Contact NumberEnter the parent or guardian’s phone number for communication.Email Address *Provide a valid email address for admission-related communication.Residential Address (Text area) *Please enter your complete home address, including the city and postal code.3. Student's Previous School (if applicable):Name of Previous SchoolIf your child has attended another school, please provide its name.Grade CompletedSpecify the grade your child has completed at their previous school.Reason for TransferPlease briefly explain the reason your child is transferring to our school.4. Program/Grade Level Requested:Preferred Grade Level *Preferred Grade LevelCBC PlaygroupCBC Pre-Primary 1 (PP1)CBC Pre-Primary 2 (PP2)CBC Primary School (Grade 1)CBC Primary School (Grade 2)CBC Primary School (Grade 3)CBC Primary School (Grade 4)CBC Primary School (Grade 5)CBC Primary School (Grade 6)CBC Junior School (Grade 7)CBC Junior School (Grade 8)Select the grade level or program you wish to apply for based on your child’s age and educational background.Preferred Start Date *Please select the desired start date for your child’s enrollment.5. Health InformationDoes the student have any medical conditions or allergies? *Does the student have any medical conditions or allergies?YesNoIf yes, please specifyIf you answered “Yes,” please provide details about your child’s medical conditions or allergies.6. Emergency Contact:Emergency Contact Name *Enter the name of a person we can contact in case of an emergency.Emergency Contact Number *Provide a phone number for the emergency contact person.Relationship to Student *Relationship to StudentParentRelativeFriendPlease specify your relationship to the child.7. Additional Information/Notes:Please provide any additional information or requests (optional) (Text area)Feel free to share any additional information or specific requests regarding your child’s admission.8. Preferred Appointment Details:Preferred Appointment Date *Please specify a date that works best for you to attend the appointment.Preferred Appointment Time *HoursMinutesAMPMSelect a time slot that suits you best for the appointment. Our team will try to accommodate your preference.9. Agreement & Consent:I consent to the use of my child's data for admission purposes (Checkbox) *I consentBy checking this box, you agree to allow the school to use your child's personal data for admission processing purposes.I agree to the school's admission requirements *I agreePlease confirm that you have read and agreed to the school’s admission requirements regarding the admission process.I agree to be contacted by the school for admission updates *I agreeBy checking this box, you agree to receive communication from the school regarding admission status and updates.HTMLClick the button below to submit your admission request. Our team will review your form and get back to you shortly.Submit Admission Request