Student Registration Form – Open Horizons Academy

Student Admission Form

Admissions Form (#5)

First Name

Last Name

Birth Date

Gender

Male

Female

Others

Address

City

State

Country

Guardian Name

Relationship to Student

Father

Mother

Legal Guardian

Other

Guardian Email Address

Guardian Contact no.

Emergency Contact Number

Grade Applying For:

Previous School

Previous Grade/Level Completed

Does the student have any medical conditions or allergies? (Optional)

Why do you want to enroll at Open Horizons Academy?

How did you hear about us?

Upload Previous School Report/Transcript

Choose File

Upload Birth Certificate

Choose File

Upload Medical Records (Optional)

Choose File

I confirm that the provided information is accurate and complete