Heath House International School

Registration Form

Country*

Campus*

Admission For*

First Name*

Middle Name

Last Name*

Email Address*

Phone Number (Mobile)*

Primary Mode of Contact*

Father Mother

Indicate which parent is the primary point of contact.

Are you a Single Parent?

I have read, understood and agree to the school rules, policies and Home School Agreement.

On a scale of 1 to 5 (5 being the best), how satisified are you with the admissions process?*

1 2 3 4 5

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