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Child’s Information

Full Name of Child

Date of Birth

Gender

Address

City

Ghana Post GPS

Student Photo

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BEN & PED PRESCHOOL

Student Enrollment Application

Application No: BPS-XXXXXX

Child's Information

Full Name

Adjei Kwame

Date of Birth

YYYY-MM-DD

Gender

Male/Female

Address

Street, Community

City

Tema

Ghana Post GPS

GA-123-4567

Photo

Parent / Guardian Information

Father:

Full Name

Contact

Mother:

Full Name

Contact

Guardian:

Full Name

N/A

Relationship

N/A

Contact

N/A

Medical & Emergency Information

Allergies

None specified

Special Needs

None specified

Emergency Contact:

Full Name

Relationship

Phone Number

Contact Us

Community 10, Tema
Nii Noi Junction, Near THE GARAGE

0558852316 / 0208227253
0264581619 / 0208151461

benpedpreschool@gmail.com
admin@benandpedpreschool.com

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Enrollment

Father's Information

Mother's Information

Guardian's Information (if different from parents)

Emergency Contact

Application Received!

Final Steps:

Contact Us

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