- Horizon Private School

Academic Year *

Student Name *

First

Last

Gender *

Religion *

Nationality *

Place of Birth *

Date of Birth *

Current Grade

Grade Applying for *

Current School Name

Does your child have any siblings at HPS-Br? *

Name of Student

First

Last

Grade

Father Name *

First

Last

Position

Name of Company / Institution

Multiple Choice

Government Sector
Private Sector

Business Phone

Mobile

Name *

First

Last

Position

Name of Company / Institution

Multiple Choice

Government Sector
Private Sector

Business Phone

Mobile

Will your Child Require Transportation? *

Home Telephone

Home Address

Address Line 1

City

State / Province / Region

Postal Code

Country

Email *

Pick Subject Group A

Arabic for Arabic Nationals
Arabic for non-Arabs

Pick Subject Group B

Islamic Studies for Arabs
English Islamic for non-Arabs Muslims
Ethics for non-Muslims

How did you hear about us? *

Social Media
Website
Family & Friends
Google
Events
Flyer & Brochures
Others

Please Specify

Does your child have any allergies to medications? *

If yes, please specify.

Does your child have any food allergies? *

If yes, please specify.

Does your child have any serious medical conditions such as diabetes, hypoglycemia, epilepsy, asthma, etc.? *

If yes, please specify.

Please upload the medical report.

Click or drag a file to this area to upload.

Does your child have any physical problem (hearing, visual, motor, etc.)? *

If yes, please specify.

Please upload the medical report.

Click or drag a file to this area to upload.

Kindly indicate if your child has: Communication disorder: speech delay, poor speech articulation, poor language expressive skills Attention disorder: ADD, ADHD, poor concentration ability, hyperactivity Learning disability: dyslexia, dyspraxia, dyscalculia, dysgraphia? *

If yes, please specify.

Please upload the psycho-educational report.

Click or drag a file to this area to upload.

Has your child ever undergone a major surgery ? *

If yes, please specify.

Does your child take regular medication? *

If yes, please specify.

Do you give the school permission to give your child Panadol in case of minor headache or pain? *

If yes, please specify the dosage and the type of Panadol (syrup or tablets).

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Note:! To ensure the provision of suitable care and
education for each student, parents are required to
inform the school of any health and special educational
needs that the child requires. Not doing so may result in
canceling the student's registration.

Please upload a colored, passport-size photo of the applicant.