Pre-registration Form for New Students, Transferees, and P.L.A.Y. Sagradan (New or Old)

Name of student*

Last name

Given names

Middle name

Gender*

Male

Female

Age*

Date of birth (dd/mm/yyyy)*

day

month

year

Birthplace*

Religion*

Current address*

Street Address City State / Province / Region

Grade level for SY 2020-2021*

Last school attended*

Last school year attended*

Number of sibling/s enrolling with you in MDSF*

Father's name*

First

Last

Father's occupation*

Father's contact number*

Father's email address*

Mother's name*

First

Last

Mother's occupation*

Mother's contact number*

Mother's email address*

Guardian's name

First

Last

Student's relationship to guardian

Guardian's contact number

Indicate email to be registered in the Parent Portal*

Birthday of the email address owner (dd/mm/yyyy)*

day

month

year

Did you attend the Open House last February 2020?*

Yes

Which program would you like to enroll your child in?*

F.L.Y. Sagradan/S.A.F.E. Program

P.L.A.Y. Sagradan

Mode of payment*

For Gr. 8-10 applicants

I am an ESC grantee.

I am not an ESC grantee.

For Gr. 11-12 applicants

I am an ESC grantee.

I am not an ESC grantee.

For Gr. 11 applicants, please select strand: ABM, HUMSS or STEM

ABM

HUMSS

STEM

For Gr. 11 STEM applicants, indicate final grades in the report card in:

Math

Science

Total: 0/0

Proof of student’s enrollment records: Report Card w/ LRN (if applicable) or School ID*

Any proof of student’s identification and birth date: Scanned birth certificate or scanned passport*

Pre-registration Form for New Students, Transferees, and P.L.A.Y. Sagradan (New or Old)

Please READ before filling out the form below.

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