Application Form

Thank you for your interest in the Hyland House School. Please complete our online application form and someone from our admissions team will contact you to arrange a visit and complete the registration process.

If you would like to download our Word Version of the form, click here

Name of child

First Name

Last Name

Year/Class applied for

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Home telephone number

(###)

###

####

Work telephone number

(###)

###

####

Mobile telephone number

Child's date of birth

DD/MM/YYYY

Age

Gender

Name of mother

Occupation

Name of Father

Occupation

Religion of child

Name of church attended

All schools/nurseries.playgroups attended in the past two years

References

Please note that these must be non-relatives

Name of referee 1

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Name of referee 2

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Declaration

“I further declare that my child/children will observe behaviour rules and codes of conduct. I will pay all fees at the prescribed times.

I agree

Application Form

Hyland House Seventh-day Adventist School