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Please select the school in which you want to enroll your child?
STUDENT INFORMATION (Student's full name as registered on birth certificate)
Gender:
Father’s Name:
Mother’s Name:
Guardian Name (If any):
MEDICAL HISTORY
Is there any deficiency/impairment?
Are there any medical conditions?
Please tick one box only to specify your child’s immunization status:
How did you first hear about St. Peter’s Lutheran School?