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Registration Form School

Year 2022 –2023

Child’s Name BUSSIER

Name to be used at BUSSIER

school
Birth date (D/M/Y): 07/12/2020

Father’s Name ANWAR

Mother’s Name EKRAM

House Phone

Parent 1 Mobile +251 94 560 6060

Parent 2 Mobile

Email alie29504@gmail.com

Days x week/Full or half Half day

In case of an emergency, +251 94 560 6060


please contact 1)

In case of an emergency,
please contact 2)

The following people can Parents


pick up my child from
school:
My child has the
following allergies or
health concerns:

My child likes to do

My child dislikes

I would like my child As the school expects


to gain these skills

Please attach a recent photo of your child

Parent’s Signature____________Date 07/12/22

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