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Student’s Name
Gender
MaleFemale
Date of Birth
Student’s Nationality —Please choose an option—
Which school/s has your child attended previously?
Please list some of your child's interests
What languages can your child speak and which does he/she feel the most comfortable? —Please choose an option—
Does the student have any reported academic, cognitive or behavioural issues?
yesno
If yes, please specify
Are there any specific areas of concern that we need to be aware of?
Estimated English level?
BeginnerElementaryIntermediateAdvanced
Special health conditions
Does your child have any food allergies?
Does your child have any special dietary needs?
Parent’s name
Phone
Email
What are your expectations for your child on their trial day?
Preferred Trial Date