Online Registration | The Lookeron School

STUDENT INFORMATION Please fill in the student's details

Year *

Level *

Receipt Number

Full Name *

Date of Birth *

Nationality *

Gender *

Male Female

Home Address *

Phone Number *

Email *

Previous School (optional)

Year (Previous School) (optional)

Religion

Mode of Entry *

Day Boarding

CONTACT INFORMATION Guardian, Mother & Father details

Guardian Details Primary Contact

Guardian Name *

I.D Number *

Occupation *

Work Address

Home Phone

Work / Cell Phone *

Emergency Contact Name

Emergency Phone

Relationship to Student *

Alternate Phone

Residential Address *

Mother's Details Optional

Mother's Name

I.D Number

Occupation

Work Address

Home Phone

Work / Cell Phone

Emergency Contact Name

Emergency Phone

Relationship to Student

Alternate Phone

Residential Address

Father's Details Optional

Father's Name

I.D Number

Occupation

Work Address

Home Phone

Work / Cell Phone

Emergency Contact Name

Emergency Phone

Relationship to Student

Alternate Phone

Residential Address

HOW DID YOU HEAR ABOUT US? Help us understand how you found us

Social Media

Friends / Family

Posters / Fliers

School Website

Other (please specify)

Secure Form

Data Protected

Quick Response

By submitting this form, you agree to be contacted by The Lookeron School regarding your child's registration. We'll get back to you within 24-48 hours.

Your information is safe and will not be shared with third parties

Student Registration Form

STUDENT INFORMATION Please fill in the student's details

CONTACT INFORMATION Guardian, Mother & Father details

Guardian Details Primary Contact

Mother's Details Optional

Father's Details Optional

HOW DID YOU HEAR ABOUT US? Help us understand how you found us