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Registration

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- Step 1 of 3

1. Student Information

Full Name *

First

Last

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Date of Birth *

Physical Address *

Address Line 1

City

State / Province / Region

Country

Classes Selection *

Any Medications Currently Being Taken *

Yes
No

Describe *

Gender *

Male
Female

Nationality *

Previous School (if any)

Extracurricular Interests

Any Medical Conditions/Allergies *

Yes
No

Describe *

2. Parent/Guardian Information

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Parent/Guardian Name *

First

Last

Phone Number *

Relationship to Student *

Email Address *

3. Authorization for Use of Child's Photographs

Please check the boxes to indicate your consent. Do not tick any if you don't grant any authorization

Checkboxes

Use on the official school website for academic, extracurricular, and promotional purposes.
Use in school-related publications such as newsletters, yearbooks, and brochures.
Use in school advertising materials, including flyers, banners, or advertisements related to school events or activities.
Use on official school social media platforms for educational or promotional purposes.

Terms and Conditions *

I Agree

We are here to ensure we shape your child for a bright future

Classes

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Get In Touch

Near MBC Church of Christ, Mzimba

Email: director@stcharlesandclareschools.com
Phone: +265 884 996 885

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