Applications Form INFORMATION ABOUT YOUR CHILD
Full name
Date of Birth Gender:
Male
Female
Student's Nationality First Language INFORMATION ABOUT THE PARENT
Parent's Full Name
Parent's Email address
Telephone number Parent's Postal Address Is your child a current student at Regents?
Yes
No
Please choose which programme your child will enrol onto: English and Learning Fun - for Ages 3-5 English Development Focus with Mandarin - for Ages 6-13 IELTS Programme - for Ages 14-18 Will your child be boarding at the school?
Yes
No
Should we be aware of any health issues or allergies? (If so, please list)
Parent's Signature
Today's Date www.regents.ac.th | 02-957-5777 ext 222
Student's Signature
Regent’s
REGENTS
School Bangkok
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