Registration Form

LITTLE GINNIE LEARNING CENTRE

ONLINE REGISTRATION FORM

Click Here for Payment, if Registration Form is already filled

Click Here for Download the Registration Form

A-12, Captain Gaur Marg, East of Kailash
,New Delhi - 110065
info@littleginnie.com
+91 7303889330

Registration Form

Student And Parent Details
Complete

Student Details:

Step 1 / 2

Academic Year *

Class *

Admission No. *

School Branch *

Stream *

Sixth Subject *

Name *

Nickname*

Gender *

Date of Birth *

Primary Mobile No. *

Email Id *

Does your child have siblings ? *

Preferred language of student *

Other languages known by the student*

Does your child have any allergies?*

Does your child have any medical condition/s?*

Does your child take any medication/s? *

Any complications occurred to child during pregnancy/at the time of birth/after birth:*

Interesting fact about your child *

Is there anything else you would like us to know about your child ?*

Choose Student Photo * File size should not be more than 1 MB.

Father Information:

Name *

Email Id*

Phone*

Address*

Choose Father Photo * File size should not be more than 1 MB.

Mother Information:

First Name *

Email Id*

Phone *

Address*

Choose Mother Photo * File size should not be more than 1 MB.

Emergency Contact

Name *

Mobile No. *

Email Id*

Relationship*

Address*

Media Permission :

I (parent/guardian name) , (relation with child) of (child’s name) give permission for the following (check all that apply, leave blank if you do not give permission)

Photos to be taken of my child and posted within the facility/program.
Photos to be taken of my child and posted online (website, social media, online ads, etc.)
Photos to be taken of my child and used for flyers or posters.

I certify that all information provided on this form is true and correct to the best of my knowledge.

I Agree

ONLINE REGISTRATION FORM

Registration Form

Student Details:

Step 1 / 2

Father Information:

Mother Information:

Emergency Contact

Media Permission :

Complete:

Step 4 / 4

Submitted Successfully

You have successfully submitted your details.

Complete:

Step 3 / 3

Not Submitted

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