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Program/Days Tuition Director s Signature at Enrollment Parent s Signature at Withdrawal Child s Health Record Father s Name Check illnesses child has had Measles Mumps German Measles Chicken Pox Scarlet Fever Strep Throat Rheumatic Fever None Allergies Drug Reactions Contact with Tuberculosis Yes No If Tuberculin Test Given Results Any surgery accidents other illnesses or special problems Immunizations Date of Immunization DTP DTap DT or Td Hepatitis B Hib OPV IPV MMR Varicella Information...
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How to fill out enrollment record

01
Gather all necessary information and documents such as personal identification details, contact information, and any relevant enrollment forms.
02
Read through the enrollment record form carefully and ensure you understand all the fields and requirements.
03
Start by filling out the basic information section, including your full name, date of birth, address, and contact details.
04
Provide any additional requested information such as emergency contact details, medical history, or any special accommodations needed.
05
Follow any specific instructions or guidelines for each section of the enrollment record form.
06
Double-check all the information you have entered to ensure accuracy and completeness.
07
If applicable, sign and date the form to validate the enrollment record.
08
Submit the completed enrollment record form to the authorized recipient or the organization responsible for enrollment.

Who needs enrollment record?

01
Students who are seeking admission to an educational institution.
02
Parents or legal guardians of students who are enrolling their children in schools.
03
Employees who are required to provide enrollment records for employment purposes.
04
Government agencies or organizations that need enrollment records for statistical or research purposes.
05
Healthcare providers who require enrollment records for new patients.
06
Insurance companies that need enrollment records for policyholders.
07
Any individual or entity that requests enrollment records as part of an application or registration process.
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Enrollment record is a document that tracks a student's registration and attendance at a school or educational institution.
School administrators or designated staff members are typically responsible for filing enrollment records.
Enrollment records are usually filled out with information such as student name, address, grade level, and emergency contact information.
The purpose of enrollment record is to maintain accurate and up-to-date information about students attending a particular school or educational institution.
Information such as student name, address, date of birth, grade level, parent or guardian contact information, and any special needs or accommodations.
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