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.

Please fill one form per child.

Check Name of Program*:Full Time SchoolAfter-School ProgrammesPart-Time Cognitive Enhancement

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	YesNo
Previous School Letter	YesNo
Copy of Birth Certificate/ Passport page	YesNo
Copy of Legal Status (Passport stamp or Work Permit indicating dependancy)	YesNo
Health Insurance	YesNo
Immunisation Record	YesNo
Education Psychologist/ Neuropsychologist report	YesNo
Speech and Language	YesNo
Occupational Therapy	YesNo
Behaviour Therapy	YesNo
Arrowsmith Suitability Checklist Download	YesNo
Other	YesNo

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.

Welcome to CLC&S!

About

Student Life

We look forward to welcoming you to our school community!

Admission Process

Apply now to Cayman Learning Centre & School

Application Forms

Afterschool Tutoring

Afterschool Tutoring

2022/23 Parent Calendar

School Uniform

Supply List

Lunch Registration