Phone: +1 (345) 943-7323

Email: info@caymanlearning.com

Address: 7 Pasadora Place, Smith Rd, Grand Cayman

Full Time School Application Form

Cayman Learning Centre & School

Full Time School

Application Form

Students receive help in our small (sometimes as low as 3:1 student-teacher ratio) classes. A programme will be customized for your child and will focus on a combination of cognitive enhancement exercises, remediation, and core academics (English, Mathematics, Humanities and Science). Students participate in daily social skill lessons to learn and practice appropriate behaviours in a class setting.

    Student Information

    Student Legal Name*:
    Student Preferred Name*:
    Date of Birth*:
    Gender*:MaleFemale
    Nationality (or passports held)*:
    Status on Island*:
    Lives With*:
    Nanny/Helper's Full Name
    Nanny/Helper's Phone Number
    Registration for Year (Yr1- Yr9)*:
    Proposed Start Date*:
    Current Grade/Year (Indicate if British or American system)*:
    Name and address of each school Year/ Grade From To
    Had your child ever repeated a year/ grade?:YesNo
    If yes, which year/ grade was repeated?:
    Where:
    Has your child ever received Special Education or Learning Support?:YesNo
    If so, please provide details of extra help given and provide specialist reports:
    Does your child receive or require Counselling support?: YesNo
    If so, please provide details:
    Please upload documents where applicable. Yes/No File
    School reports – last report and previous end of year report
    Previous School Letter
    Copy of Birth Certificate/ Passport page
    Copy of Legal Status (Passport stamp or Work Permit indicating dependancy)
    Health Insurance
    Immunisation Record
    Education Psychologist/ Neuropsychologist report
    Speech and Language
    Occupational Therapy
    Behaviour Therapy
    Arrowsmith Suitability Checklist Download
    Other
    How did you hear about CLC:
    Is your child's first language English?:YesNo

    PARENTS INFORMATION

    Indicate Primary Caregiver: Mother / Father / Guardian / Other:
    Mother's Name*:
    Street Address*:
    District*:
    PO Box*:
    Postal Code*:
    Phone Work*:
    Cell*:
    Email*:
    Place of Employer*:
    Profession*:

    FATHER INFORMATION

    Father Name*:
    Street Address*:
    District*:
    PO Box*:
    Postal Code*:
    Phone Work*:
    Cell*:
    Email*:
    Place of Employer*:
    Profession*:

    STUDENT RELEASE INFORMATION

    Name*:
    Phone:
    Relation:
    Please indicate if there is a court order restricting access to this child:YesNo
    If so, indicate individuals name:

    STUDENT MEDICAL HISTORY

    Doctor's Name:
    Doctor's Phone:
    Doctor's Address:
    Please list all medical history:
    Please list any allergies or medication:

    Parent Declaration

    I hereby declare that I have read and understood the information contained on this form, including the attached policies and procedures form, and agree with all of Cayman Learning Centre’s Policy and Procedures. I understand that my child will be required to participate fully in all school activities and adhere to school rules and policies. I agree that all parents/ guardians/ caregivers involved will do their upmost to cooperate fully with the school in its rules and policies. I understand the registration fee is $300 for new enrollments only, due with submission of this form, and is non-refundable.

    The information I have provided is correct.

    Signed (Parent/ Guardian):
    Dated:
    I consent that pictures and/or videos taken of my child may be used for CLC promotional purposes only.
    I consent to receiving newsletters.
    Accept Terms of Policy and Procedures*: Yes, I Accept.

    Terms & Conditions.