Printable Admission Form

This form can be printed and filled out by hand. Parents can submit the completed form to the school office.

GRACEHEIGHT HERITAGE ACADEMY
ADMISSION APPLICATION FORM
Kahawa Sukari, Kwale Road, Opposite 2nd South Avenue
Phone: 0725361080 | Email: graceheightheritage@gmail.com
Instructions: Please fill out this form completely in CAPITAL LETTERS. All sections marked with (*) are mandatory. Attach recent passport-size photographs and required documents before submission.
ADMISSION DETAILS
Play Group
PP1
PP2
Grade 1
Grade 2
Grade 3
Grade 4
A. PUPIL'S PERSONAL DETAILS
Male
Female
B. HEALTH INFORMATION
A+
A-
B+
B-
AB+
AB-
O+
O-
Unknown
Up to date
Incomplete
Not started
C. FATHER/GUARDIAN INFORMATION
D. MOTHER INFORMATION
E. EMERGENCY CONTACT
F. PARENTAL CONSENT

At Graceheight Heritage Academy, we provide quality education, spiritual guidance, and holistic development. Please consent to the following:

1. Academic & Co-Curricular Activities
Yes
No
2. Educational Trips/Excursions
Yes
No
3. Medical Emergency Authorization
Yes
No
4. Photography/Media Use
Yes
No
5. Religious & Moral Instruction (Christian-based programs)
Yes
No
DECLARATION

I/We hereby declare that the information provided above is true and correct to the best of my/our knowledge. I/We understand and agree to abide by all the rules and regulations of Graceheight Heritage Academy. I/We understand that any false information may lead to the cancellation of admission.

I agree to the terms and conditions
Parent/Guardian Signature
Date

For Office Use Only