TH School Application Form

TH School Application Form
This application is to attend: *

Day school at the Chùa Bộc campus Boarding school at the Chùa Bộc campus Boarding school at the Hòa Lạc campus

Student Information
Student's name *

First Name Middle Name Last Name
Date of birth *

Day Month Year
Date Date Picker Icon
Gender *
Nationality *
Grade applying *
(e.g. Pre-KG, KG3, Grade 4, etc.)
First language *
Other language(s) spoken

Home Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Name of guardian (if student is not living with parents)

First Name Last Name
Relationship to student
Student Photo *

Browse Files
Please upload a passport-style photograph here. Cancel of

Family Information

Father / Guardian
Father's Name *

First Name Last Name
Father's Date of birth *

Day Month Year
Father's Date of birth Date Picker Icon
Father's Nationality *
Father's ID Number
Father's Occupation *
Father's Company address *

Father's Home Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Father's Home Phone Number *

Country Code Area Code Phone Number
Father's Mobile Phone Number *

Country Code Area Code Phone Number
Father's Email *
example@example.com

Mother / Guardian
Mother's Name *

First Name Last Name
Mother's Date of birth *

Day Month Year
Mother's Date of birth Date Picker Icon
Mother's Nationality *
Mother's ID Number
Mother's Occupation *
Mother's Company address *

Mother's Home Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Mother's Home Phone Number *

Country Code Area Code Phone Number
Mother's Mobile Phone Number *

Country Code Area Code Phone Number
Mother's Email *
example@example.com

Emergency Contact

Contact 1
Name *

First Name Last Name
Relationship to student *
Mobile Phone Number *

Country Code Area Code Phone Number
Daytime Contact Number *

Country Code Area Code Phone Number

Contact 2
Name *

First Name Last Name
Relationship to student *
Mobile Phone Number *

Country Code Area Code Phone Number
Daytime Contact Number *

Country Code Area Code Phone Number

Siblings

Sibling 1
Name

First Name Last Name
Gender
Date of birth

Day Month Year
Date of birth Date Picker Icon
Grade
School or Company (if any)

Sibling 2
Name

First Name Last Name
Gender
Date of birth

Day Month Year
Date of birth Date Picker Icon
Grade
School or Company (if any)

Sibling 3
Name

First Name Last Name
Gender
Date of birth

Day Month Year
Date of birth Date Picker Icon
Grade
School or Company (if any)

Sibling 4
Name

First Name Last Name
Gender
Date of birth

Day Month Year
Date of birth Date Picker Icon
Grade
School or Company (if any)

Previous Schools

School 1
School *
Location *
(e.g. City, Province)
Date Enrolled *

Day Month Year
Date Enrolled Date Picker Icon
Date Withdrawn *

Day Month Year
Date Withdrawn Date Picker Icon
Grades Completed *

School 2
School
Location
(e.g. City, Province)
Date Enrolled

Day Month Year
Date Enrolled Date Picker Icon
Date Withdrawn

Day Month Year
Date Withdrawn Date Picker Icon
Grades Completed

School 3
School
Location
(e.g. City, Province)
Date Enrolled

Day Month Year
Date Enrolled Date Picker Icon
Date Withdrawn

Day Month Year
Date Withdrawn Date Picker Icon
Grades Completed

Has your child ever been suspended from school for any reason?
Has your child ever been suspended from school for any reason? *

Payment Information
Payment of tuition fees: *

Annual tuition fee Termly tuition fees

*

I hereby certify that the above information given is true and correct as to the best of my knowledge. I understand that the provision of incorrect information relating to this application may result in cancellation of any offer or enrollment by the School.

Terms & Conditions
By signing this Application Form, we, the undersigned Parents/Guardians agree that we have read, understood and agree to be bound by the obligations in this form and by any subsequent amendment(s) as notified by the School from time to time. We also:
- Cooperate actively with the School to support our child’s education by attending parent meetings.
- Agree to inform the School of any absence of our child/children from school.
- Agree that our child/children will adhere to school regulations. We will cooperate with the School in supporting our child’s education. In case our child/children violate(s) school rules or regulations, the school reserves the right in extreme cases to suspend or expel our children from the school. We are also responsible for providing compensation for any damage that our child/ children caused.
- Confirm that we are in receipt of school fees and will comply with the terms and conditions in the schedule of fees. In the case that our child/children violate(s) school regulations and is expelled from school, there will be no refund or reduction in the fee already paid or are payable to the school.
- Ensure that all the information provided is correct and that any change will be updated with Admissions representatives. If the School is not informed of changes in advance, the School will not bear any responsibility for failing to contact Parent(s) in an emergency or deliver information or documents to Parent(s). I/We are aware that if we provide misinformation, the School may decide, in its sole discretion, not to provide any refund or reduction in the fees we already paid or which are payable to the school.
- In case of injury, illness or emergency, I am/we are responsible for all costs not covered by Vietnamese National Health Insurance.
- In the case of accident, illness or emergency that the undersigned parent(s) or emergency contact cannot be contacted, parent(s) hereby authorize the school to procure any necessary medical procedure and undertake to pay all related costs that the school paid in advance in order to provide care.
- Agree that for events requiring parental approval, it is sufficient to obtain the approval of one Parent.
- Agree that our child’s/childrens’ image taken during informational or school activities may be used for promotional purposes.
- Agree to allow our child/children to participate in all the School’s compulsory activities, including excursions/ field trips arranged by the School.
- Understand that the school’s main form of communication with Parent(s) will be through email. Therefore, I will provide a functional email contact.
Liability Waiver
*

The undersigned Parent(s) acknowledge and agree that the School is not liable for any injury that may occur to the Applicant whilst attending the School or participating in school-organized activities, except to the extent that such injury arises from the gross negligence of the School. The School is not liable for any loss or damage to a student’s personal belongings.
Signature of parent or legal guardian | Chữ ký Phụ huynh hoặc Người giám hộ hợp pháp *

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TH School Application Form

Student Information

Family Information

Emergency Contact

Siblings

Previous Schools

Payment Information

Terms & Conditions

Liability Waiver