School* :

—Please choose an option—Dammam – Al Zahoor BoysDammam – Al Zahoor GirlsDammam – Al Hamra GirlsRiyadh– Special EducationRiyadh – AlMughrizat BoysRiyadh – AlMughrizat GirlsRiyadh – Baraem Al-SahafaDhahran – Baraem AlDanaJeddah – Obhour BoysJeddah – Obhour Girls

Name* :

City*:

School Stage*:

Grade*:

Academic Year*:

You Know us from*:

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Student Image:

Please upload your Image in pdf format (max 4MB)

We are very pleased that you have chosen to apply for admission to Baraem / Rowad-Al Khaleej Schools.
if this is the first enrollment, you must submit application for admission along with the required documents.
Note: the registration will be processed if the required documents are not completed.

Grade Apply For*:

Gender:

MaleFemale

Internal SIS ID*:

Please provide accurate residential information for the student applying for admission. Please print legibly.

Last Name*:

First Name*:

Father's First Name*:

Grand Father Name*:

Iqama/ ID Number*:

Nationality*:

Date of Birth*:

Birth City*:

Birth State/ Province*:

Country*:

Please Provide accurate information for the student's primary and secondary guardian below, Please print legibly.

Last Name*:

First Name*:

Relationship:

FatherMotherGrand FatherGrand MotherUncleAuntOther

Primary Phone*:

Alternative Number:

Home Address:

E-mail Address:

Academic degree:

Major:

Guardian's job:

Iqama Number:

Last Name*:

First Name*:

Relationship:

FatherMotherGrand FatherGrand MotherUncleAuntOther

Primary Phone*:

Alternative Number:

Home Address:

E-mail Address:

Academic degree:

Major:

Guardian's job:

Iqama Number:

Please list any siblings that are currently enrolled at the school below, please print legibly.

Sibling Name*:

Sibling Name*:

Sibling Name*:

Sibling Name*:

Who does your child live with?

ParentsFather onlyMother onlyOthers

If Other:

If the student lives with one of his parents, please attach the guardianship document:

Mobile Number:

Please provide accurate information about your student's previous education. Please print legibly.

Name of Previous schools (1):

Graduation Year:

Location:

Curriculum Type:

Name of Previous schools (2):

Graduation Year:

Location:

Curriculum Type:

"For new enrolled students' guardians, please complete "Home Language Survey" so that we can decide if the student needs a tailored educational program suitable for his language skills"

What is/was the student's first language?:

Does the student speak a language(s) other than Arabic ?
If yes,specify the language(s):

What language(s) is/are spoken in your home?

Has the student attended any United States / UK school in any 3 years during his/her lifetime
,if yes please list the grades below

Does Your Student have any chronic disease?

YesNo

If yes, please mention the diease name here:

Dose your student take any medicine?

YesNo

Drug Name:

Time:

Does your student have any allergies?

YesNo

Have your child ever been infected with the upcoming diseases Measles

MeaslesWhooping coughMumpsSmallpox

Does your student have a food allergy?

Planets:

YesNo

Planet Name:

Medicines:

YesNo

Specify Here:

Drinks:

YesNo

Specify Here:

Foods:

YesNo

Specify Here:

Animals:

YesNo

Specify Here:

Clay:

YesNo

Specify Here:

Chalk:

YesNo

Specify Here:

Other:

Did your student have a surgery?

YesNo

if yes, please specify here

Does your student have difficulties seeing?

YesNo

Does your student have difficulties hearing?

YesNo

Does your student have any disabilities?

YesNo

if your student currently under medical /clinical observation?

YesNo

if yes, please specify here

Family Recommendations

Additional Medical Notes

Baraem / RAIS has the permission to give my child the following medications if necessary

paracetamol, (for fever reasons)

YesNo

First old medication for minor wounds or insect bites

YesNo

for sudden allergies (anti-hestemine) Claitine

YesNo

EMERGENCY TRANSFER APPROVAL

we are care about your child's health & safety and in emergency cases, we need your approval to transfer your child
by marking (√) on the proper choice:

Transfer my child to the hospitalwait for an ambulance to transfer him/herwait for me to take my child

In CASE OF ANY EMERGENCY, PLEASE LIST ALL POSSIBILE CONTACTS

Name:

Mobile:

Relation:

Name:

Mobile:

Relation:

Name:

Mobile:

Relation: