St. Luke's Academy

Inspiring Excellence
Student Information UPDATE Form
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Fields marked with an * are required.

Student Name
Student's Address
Student's Current Class Sept 2022
Mother's/Guardian's Full Name
If a work phone is not available, please input an alternate number that you can be contacted directly.
Father's/Guardian's Full Name
If you don't have a work phone, please input a number that you can be contacted direcly.
Emergency Contact/Guardian's Name
Name of Pediatricians
Immunisation Up to Date
In case of emergency, permission is granted to take child to hospital
Is permission granted to use pictures or videos of your child taken either at school or on outing on the school's website/Facebook page or in advertising/flyers etc. even after the child is no longer enrolled with us or graduates?
I have received and read the updated School Policy Handbook and agree to abide by all school policies.
Parent's/Guardian's Full Name