Application for Admission Admission sought In: [] Day Care & Time Slot (Batch) Preferred: ; i jor Play Group _] Nursery |_]Kidzo Junior [_] Kidzo Seni = Morning CDAfternoon Pate of admission (to be filled by the schoo): [= 06/093 (dd/mm/yy) Please fill up all fields of information, Please fil the information in CAPITAL LETTERS only. Name Surname Nationality Gender Height nem) Date of Birth: 1S / ©F 7 20 tammy Age: 2. years 1 _ Blood Group : Languages spoken at home : (English Zing Other : Hinpu Aadhaar Card No. of child Religion : PAMANKA SARDA INDIAN :femaleCImale 3 Tem. Weight ntes) + ea A ave Details of Caste: SCL) sTZ) Bk R682 8897125 Personal marks of Identification : Address : House no. “T1- 604 Name of apartment/building/house RAMKY ONE GAL AXA Street name Landmark NALLAGANDLA Townciy WY DERA BAD state TELANGAN A Pin code 500014 www.kidzoniainternational.inFamily Details and Home Environment = Your child a poos your child attend any school? |_| Yes vate if yes” please enter the details below Name of school_——_—_ Class studying in tetrained? es | INO ulars of Siblings Years: age: Is your child toile = Partict 1: __ Sister Brother name: tid If the child attends school: Class studying in. Name of the school, age: Years: 2: sister _| Brother N& If the child attends school: Class studying in, Name of the Pe Name : age: ____—_ Years Cisister (J Brother 3: Name : NA If the child attends school: Class studying in____— Name of the schoolParticulars of Parents / Guardian Father’s/Guardian’s Name: AKASH surname__ SARD A Educational Qualifications: _ BE E2TC Occupation :_SERNICE Name of the Owganization:_ OPTUM - UNITED HEALTH GROUP Contact detalls (Residence) STD code Telephone No_@ (Office) STD code Telephone No. 13252844 (mobile AU2S2SZBAF Vv. Email, akagh- Sarda 02 @ |ahoo- in Mothers Name :__NVEYTA ; sumame_SARDA Educational Qualifications: _®E __INSTROM ENTATIDN G ConTRL Occupation SERNICE Name of the Organization: _PrNethacrec Wt 0F é SERNICE NOW Telephone No. Contact details :(Residence) STD code Telephone No. (Office) STD code oie ABO Email: nikieratli 07 @ mail-com ‘yww.kidzoniainternational.inFood Habits Is your child entegetarian (Non- Vegetarian .e mention below the kind of food your child is used to. Breakfast: Brod, Sandvoichy foha Upena , Docbigar Com Hakes Lunch :. Dal wotlk Cuno Rive. Pleas Snacks’ Paleode Pani fucet_, foha, Upona. pinner_Rott Sebi Knichade Please list below the food restrictions for your child and their reasons (medical, personal, religious, dislike, etc.) N& ‘www kidzoniainternational.inHealth Details CHSS Card No: Were there any medical problems during the delivery of your child and post — natal period? Oyes No If ‘yes’ please enter the details: Immunization Record: Roem BCG Ae Birth DPT (Triple) 2% sth Math 2022. Booster iD | at sept 2021 | Polio = BS Masch 2023 | Measles / MMR QZ 15 dec 202) Is your child known to have any allergies? Please enter the details below. 1. Food allergies (eg. Milk, egg, etc.):_N. A 2. Allergies to medicines: _ MV 3. Any other allergies:__ NA ‘www kidzoniainternational.inDoes your child have any Physical Challenges, Learning Difficulties or Special Needs? If yes, give details. NA Has your child ever participated in a special education programme (Le. gifted and talented, learning difficulty and speech or language therapy, IEP) in the last five years, and has the child received any learning support? ves {no If yes, please describe/please enclose the test results. Has your child suffered from any major illnesses in the past? (eg. Malaria, Measles, Chickenpox, etc.). Ces (2106 If yes’ please enter the details of the illness and at what age did it occur: Does your child suffer frequently from any illnesses? (eg. Vomiting , diarrhea, flu, etc.) Dyes Eto If yes’ please enter the details of the illnesses: Does your child suffer from any chronic/ special Dyes Ne illnesses? (eg. Convulsions etc.) If yes’ please enter the details of the illnesses: ‘www. kidzoniainternational inEmergency os } Please list the people to be contacted in an emergency: Name of the person APLHVAD PIN GLE Contact No 244 GBS VCS Name of the person AVAN\ OESA) Contact No_15 27481304 Name of the person MECHA SWARNAKAR Contact No I56B16645 In the event where any of the people mentioned above cannot be contacted, do you agree to allow the centre to call a doctor? (Please note: the doctor's fee will be borne by you) (es [-] No www kidzoniainternational.inParent Undertaking rowrih AKNS 5 HeDO. Declare and agree to abide the following: (Father/Mother/Guardian) {That the school management reserves the right to change, at anytime, any of the rules and regulations of the school, Including those pertaining to the admission and withdrawal of students. 2.NCLUSION POLICY iddzonla International Pre-School supports INCLUSION as @ practice to provide ‘special support and related services’ to a child with ‘special needs’ in the regular classroom, We spend a great deal of time and energy in Investigating the variables that make Inclusive educational endeavors work in the best possible way. “Inclusion” means that all students tre eniitied to equal opportunities provided by the school. The Counsellor/Special Educator in cooperation with the class teacher Is involved in eatly Identification and informal assessment of learning/behavioural difficulties. .ed to provide the special teacher within a month. The cost of the special teacher will be borne by the parents besides the school fees. In absence of the special teacher a subetiute heeds to be provided by the parent or the teacher. The child's attendance: during the absence of the special teacher depends on the severity of the case and the effect on the smooth functioning of the classroom. ‘The centre supervisor and in-house counselor will communicate the decision to the parents. ‘The parent/guardian needs to meet the counselor as and when required to discuss the child's progress. At the End of tho year te management and the counselor will analyze the child’ performance. Ifthe child has been unable to cope, the decision would be communicated to the parent/guardian. ire child would then be advised to move to a level belter sulted to his/her capabilites. In case of behavioural issves are cot ett that the child's behavior Is detrimental to other children, the centre management in consultation with the ao office would take a decision regarding the child (ic. whether the child fs allovied to attend school or not) At Coren a child is unable to perform in accordance with the class level and the current conceptual understanding ls ss two grade fower than expected at his/her grade, the school would recommend after-school paid suppor or the os tive fogus of these sessions will be to develop the childs conceptual understanding of age appropriate concep, sane of the support management will be borne by the parents. The aim of the after school support programmes is t0 cree the eld in performing at his/her grade level. These sessions willbe conducted only after school. I the informal eel nant nt our Counselor/Special Educator recommends any further action by way of @ formal assessment or ‘additional attention, we request that you cooperate with us in every possible way. If the need for a special teacher Is felt then the parents ne 3.FEES That once my ward Is selected for admission, I shall be responsible forthe regular and timely payment of school fees able to make the late Jha oiler dues, as fixed and changed from ime to time by the school. Failing by which I wil be | ayrnent fine 2¢ prescribed by the school. The school reserves the right to strike off the name of my ward from the rolls Rae tion hin hice rom takrng the examination on account of non-payment of fees and other dues Further under- anal Ravi my word fe withdrawn from the school for whatsoever reason, the fees on the fees once pad is nowreundste sant anaferabhe and nonadjustabie under any crcumstances.in case my ward is withdrawn in the middle of an ‘academic year for whatsoever reason, I will have to pay the full fees for the entire academic year. A.ATTENDANCE All students are expected to have a minimum of 75% attendance at all grades for promotion to the next cass. S5.That I will withdraw my ward from schoo! if the Principal fe i I to the feels that hi the school is detrimental to the interests of the institution in any way. Ce ee rer 6.That the final internal/external examination certifi icates of rm sonally by the father/mother/guardian and not by any other person. ward will be collected rm te school personal DY ‘www .kidzoniainternational in7,OUTDOOR ACTIVITY That I am fully aware of ie ly aware of the nature of all activities undertaken by the school students such as various games and and spor and know clearly the risks involved 1e school responsible for any accident in course of thest and that I would not hold the and in k school ible for ar involving my ward, causing any injury or fatality despite the school's best efforts of providing a per 7 fety and secur it 8.PUBLICITY That I give cor give consent to use photographs of my ward in magazines, flyers, prospectus, advertisements and other public tions of the organization. I agree to present my ward at t re 1s and times for the purpose even after I he " Wy ie required venues and times purp 9:The school fees may increase every year. 10.MEDICAL PERMISSIONS: I give my consent to the scho« for common ailments. fam conscious of the fact that the medication rarely may produce un ‘ol nurse/teacher to administer over the counter medication wanted side effects. 3 Yes [LA No[ Iness, a student who has any contat is vested with the authority to mal ‘The parent authorize ication for common ailments. gious and/or communicable disease may not be ke such a decision based on the advice of any In order to reduce risk of spreading ill 15 the medical attendant appointed or allowed on campus. The school Principal appropriate physician from whom he/she ominated by the school to administer over the counter medi may seek counsel. 11.EMERGENCY PERMISSION: I give my consent for emergency measures to be taken in case of emergency situations due to 20 accident/violent injury/medical or surgical emergency seth understanding that I (the father/the mother/the guardian of the student) shall te nbtifed/informed as soon as possible. The ‘schoo! wll accept no responsibilty for any unforeseen incident that may cccur due to the administration of medi ineytreatment in both emergency and non-emergency situations, though necessary precautions are taken. 12,COMMUNICATION - ‘All efforts will be made to communicate clearly and effectiveh be the coordinator with prior ‘appointment. Please do not hes improvement. In case you fee! that communications do not reat the current computer technology, ‘emails will be preferred as @ mot check emails regularly. iy with the parents/guardians. The frst point of contact shall ‘ate to make reasonable and feasible suggestions for ‘ch you, please check withthe coordinator. In keeping with vie of communication and parents are requested tO 13.CODE OF CONDUCT FOR PARENTS, DURING SPECIAL DAYS: Th our pursuit of excellence in all areas pono! management, the contribution ofthe parents cannot be stressed enough. Aspiring for this cooperation, request all to respect the following guidelines as under: eomentation for new admissions for lay Grou azo Senior Parents are requested to be on time for the orientation otocol of meeting the facilitator (teacher), Coordinator Head rogramme. ; ororent Teacher Meetings : Parents, kindly abide by the pr Principal and Principal. eater ne enti learning, wherein acid gets an opportunity to imbibe fe sls Sl 3 athy. Every child gets 2 ital instruments of experi ic speaking skills, ‘ent and the virtue of patience and empal ne of the vi skis, publ time manager ‘Annual concert is 0F team work, organizational ‘chance to showcase his/her talent. to the teachers on time and pick them up only after the ‘kindly handover your children ‘netuctions are given (request to pick them UP In between the concert will not be entert concert is over and dispersal ‘ained under any circumstances). www kidzoniainternational.inDocuments to be submitted along with the form:~ 1. Kindly refrain fron carrying any cameras and video cameras Inside the auditorium during the concert. Photography with camera phortes will also not be permitted. eParents aro requiested to turn thelr moblle phones on discreet mode In order to avoid disturbance to others tn the audience and distraction of the: participants, ln case of an urgent call, Kindly attend to the call outside the auditorlum, ‘Sports day ts a patton for every child to showease the skills developed and honed in the areas of sportsman ship, team work and ‘physical conditioning through the varlous Sports and Perfor ming Arts activities, that culminate In fostering the aspiration to excel within Abe parameters of set rules for the sporting activities, Children will be allowed to leave the ground only at the end of the Sports Day. Parents are requested to Kindly refrain from leaving their seats, Kindly addres: ‘We school see Mentloned | crowding near the ground and speaking to the teachers. any Issues only to the Vice Prinelpal/Prinelpal. S-co-operation from parents In terms of punctuality In bringing thelr child to the respective venue for the above eck events, An case of any extraordinary situation, whereln the cli! is requited to be excused in between or from attending the events, please ‘meet the Principal prior to the same with a formal Ietter stating the reason, ‘Aa-The School Management/Stalf tries Its level best to ensure that every child circumstances may hinder the best intentions. gets his due share of time but unforeseen 1S.We hereby certify that all the information provided by us in this form is correct, We undertake to abide by all the school rules, 16.Any dispute will be subject to exclusive jurisdiction of the courts at Hyderabad and the disputes shall be settled by a Sole arbitrator in accordance with Arbitration and Coneillation Act, 1996, Date: 24) June 202% Place: Lyheraload Akash Soncle Mother's Signature: reads Father's Signature: Please note that an incomplete application form is bound to be rejected, FOR OFFICE USE ONLY Certified true copy of the childs birth certificate issued by the relevant Municipal Corporation or Passport copy for proof of date of birth Five passport size colour photographs of the child, Three stamp size colour photographs of the child, Three passport size colour photographs of father and mother along with ID proof, and Address proof, gag || Cee Counselor's Signature ‘oniainternational.in