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be smart academy

Child Enrollment

Child Information

Given name(s):

Family name(s):

Place/date of birth:

Nationality:

Gender:

male
female

Start:

Sibling Information

Sibling status:

yes
no

Name of sibling/s:

Siblings you also applied for:

yes
no

Name/s of sibling/s:

Parent / Legal Guardian Information

Parent / Guardian 1

Given name(s):

Family name(s):

Street address:

City/town:

Postal code:

Telephone:

Mobile phone:

Email address:

Nationality(ies):

Mother tongue(s):

What language do you speak with your child?

Parent / Guardian 2

Given name(s):

Family name(s):

Street:

City/town:

Postal code:

Telephone:

Mobile phone:

Email address:

Nationality(ies):

Mother tongue(s):

What language do you speak with your child?

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