Admission Checklist - Enrollment Maria Montessori International School MEDICAL RECORD (For New Students Only) Name of Applicant: ________________________________________________________________ Grade Level: ____________ For our Physical Education class, we offer the following activities: ball games, karatedo, and swimming. May we request you to inform us of any important data regarding the health of your child so as to ensure that he/she is physically fit to undertake such activities. 1. Based on your knowledge, is your child fully immunized for his/her age? Yes No 2. Does your child have any known allergy to drug (medicine) or food? Yes No If yes, please enumerate what they are: ____________________________________________________________________________________________________ 3. Does your child require or is he / she using any of the following? Eyeglasses _____ Hearing Aid _____ Braces _____ Contact Lenses _____ Dentures _____ Others _____ 4. Is your child asthmatic? Yes No If yes, please provide name of maintenance medicine ____________________________________________________________________________________________________ 5. At present, is your child being treated for any illness? Yes No If yes, state name of illness. _____________________________________________________________________________ Medication taken _____________________________________________________________________________________ Please indicate allowed physical activity. __________________________________________________________________ 6. Any previous history of the following during physical activity: Dizziness _____ Fainting Spells _____ Bluish discoloration _____ Pallor _____ Seizures _____ Hyperventilation _____ Difficulty in breathing _____ 7. If your child has any handicap, please describe it. Visual _____________________________ Muscular Coordination _____________________________ Hearing _____________________________ Speech _____________________________ 8. Please check any heredo-familial (hereditary) sickness: Hypertension _____________________________ Bronchial asthma _____________________________ Diabetes mellitus _____________________________ Others _____________________________ 9. In case of emergency, please give the names of the contact persons: Parents ___________________________________________ Tel. No.: _____________________________ Doctor ___________________________________________ Tel. No.: _____________________________ Others ___________________________________________ Tel. No.: _____________________________ Please request your Pediatrician to issue a medical certificate if your child is not allowed to join any of the physical education activities mentioned above. __________________________________________ Parent ’s/Guardian’s Signature above Printed Name Form A-01 Updated January 2020
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Admission Checklist - Enrollment
Maria Montessori International School
MEDICAL RECORD (For New Students Only)
Name of Applicant: ________________________________________________________________ Grade Level: ____________
For our Physical Education class, we offer the following activities: ball games, karatedo, and swimming. May we request you to
inform us of any important data regarding the health of your child so as to ensure that he/she is physically fit to undertake such
activities. 1. Based on your knowledge, is your child fully immunized for his/her age? Yes No
2. Does your child have any known allergy to drug (medicine) or food? Yes No If yes, please enumerate what they are:
Please request your Pediatrician to issue a medical certificate if your child is not allowed to join any of the physical education
activities mentioned above.
__________________________________________
Parent’s/Guardian’s Signature above Printed Name
Form A-01 Updated January 2020
Admission Checklist - Evaluation
Maria Montessori International School
PARENTS’ AGREEMENT WITH MARIA MONTESSORI INTERNATIONAL SCHOOL
We, the parents of _________________________________________________________________________________________
(Please state name/s of child/ren enrolled in MMIS.), do hereby recognize that by enrolling our child/ children in Maria Montessori
International School, contract an agreement with the school, fully believing in its capacity to provide a high standard of Christian
education.
This Agreement entails that:
Maria Montessori International School undertakes the responsibility to teach our son/daughter according to the rules and regulations
for private schools promulgated by the DepEd, and that we, the parents, abide by the rules and policies of MMIS in everything that
pertains to school matters, especially with regard to school requirements, fees, and activities. In particular, we hereby agree to the
following terms and regulations, without any doubt or mental reservation:
1. We are enrolling our child/ children for one (1) school year of 10 months, from July to April. In case we withdraw our child
after two (2) weeks of classes, we agree to pay the fee of one school year (Sec. VII, 37 MRPS). 2. We agree to promptly pay the school fees. We agree further that the school will charge five hundred pesos for every returned
cheque and two percent charges per month on the unsettled amount after the close of the school year (April 30).
Note: For full payments, the application of the six percent discount from tuition fee will be until May 31 only. Foreign
students are required to pay the full payment of (tuition fees, other tuition fees, SSP and activity fees) upon enrolment. 3. We agree with the school’s mission statement and philosophy, and guidelines.
4. We fully support the school, its administration and faculty, in implementing its programs and refrain from any action
whatsoever that will directly work against the interest of the school, its administration and faculty, and destroy its good name
in the community. 5. We accept the rights and prerogatives of the school to set norms and policies, requirements and fees, subject to the rules and
regulations set by the DepEd and as stated in the MMIS Students’ Handbook. 6. We shall attend the Parent-Teacher Conference at the end of every quarter by personally claiming the report cards to discuss
the progress of our child. 7. We shall follow up on our child’s study habits at home and sign the communication notebook regularly. We shall support
our child’s extracurricular activities in school, undertaken with our permission. 8. We recognize the school policy that complaints and grievances may be aired through written communication to the Office
of the Principal. The Principal will then endeavour to settle the grievances within a period of three (3) working days. The
school reserves the right that complains and grievances may be brought to the attention of the Principal through a written
communication and not in any other form, without any way harming the name of the school, its administration and faculty,
nor disrupting or hampering school activities through demonstration. 9. We fully accept the right of the school to refuse admission to our son/daughter at any time of the school year if we fail to
abide by the above written terms and a condition of this Agreement and those mentioned in our son’s/daughter’s Students
Handbook. 10. We fully understand and accept the school rules and other directives set by the school administration as stated in
the Students’ Handbook, knowing these rules and directives are for our own good.