Please fill out the questions below to register your child for the school. Once the registration has been sent, a member of the administration team will be in contact with you.

PERSONAL DATA

First Name:		(Familiar Name: if applicable)
Middle Name:
Family Name:
Citizenship:
Date of Birth (dd/mm/yyyy):		/ /
Gender:	Male Female
City and Country of birth:
Passport Number:

INSURANCE DETAILS

Details of Personal Insurance (covering Medical, Travel, etc) Please provide a copy of policy document
Name of Insurer:
Policy Number:

CONTACT DETAILS

Current Mail and Contact Information			Address and Contact Information in Uzbekistan
			Same as Current contact information
Street:			Street:
City:			City:
Country:			Country:
Postal Code:			Postal Code:
Telephone: (include codes)			Telephone: (include codes)
Email:			Email:

Proposed date of entry to TIS: (This is the date you would like your child to enter TIS)
/ /

How long are you planning on staying in Tashkent? years

Does your child have brothers/sisters in or applying to TIS? (supply name and grade)
in grade
in grade
in grade
in grade

Who will be responsible for tuition payments?
Parents
Organisation ; Name of Organisation:

GUARDIAN DETAILS
First Guardian
Guardian's First Name: Guardian's Last Name:
Relationship to Child: Parent Grandparent Uncle/Aunt Friend of Family Other
Nationality:
Languages Spoken:
Employer:
Position/Function:
Telephone: eMail:

Second Guardian
Guardian's First Name: Guardian's Last Name:
Relationship to Child: Parent Grandparent Uncle/Aunt Friend of Family Other
Nationality:
Languages Spoken:
Employer:
Position/Function:
Telephone: eMail:

NANNY / CARER DETAILS (If applicable)
First Name: Last Name:
Nationality:
Languages Spoken:
Telephone: eMail:

EMERGENCY CONTACT INFORMATION
(List relatives or friends who can be contacted in the event that you are not available)

Name:
Home Phone: Work Phone:

Name:
Home Phone: Work Phone:

DRIVER INFORMATION
(The following people have permission to drive my child to and from TIS)

SCHOOLING HISTORY
(Start with the most recent)

School Name:
Email Contact: Address:
Attended from: (month) (year) to (month) (year)
Language of Instruction: Last grade level attended: Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 Grade 7 Grade 8 Grade 9 Grade 10 Grade 11

School Name:
Email Contact: Address:
Attended from: (month) (year) to (month) (year)
Language of Instruction: Last grade level attended: Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 Grade 7 Grade 8 Grade 9 Grade 10 Grade 11

WHERE HAS YOUR CHILD PREVIOUSLY LIVED?
(Start with the most recent)

LANGUAGES

ENGLISH LANGUAGE LEARNERS
(Please complete this section if your child and/or family usually speak a language other than Engish at home)

Child's knowledge of English language: None Limited Good Fluent
Has your child ever formally studied English?
No Yes, where and how often
Has your child ever received additional English support in school?
No Yes, please indicate years and hours per week.

SCHOOL PROGRAMMES

Has your child ever been included in or referred for any type of the following programmes?

Individualised Testing	No Yes
Special Education	No Yes
Speech and Language Therapy	No Yes
Occupational Therapy	No Yes
Gifted and Talented	No Yes
Does your child (to your knowledge) have any learning difficulties or disabilities?	No Yes
Has an IEP (Individualised Educational Plan) ever been prepared for your child?	No Yes
has your child ever been referred to a counsellor, therapist or similar specialist?	No Yes
Has your child ever consulted a counsellor, therapist or similar specialist?	No Yes
Has your child ever repeated or skipped a grade	No Yes

If you have answered "yes" to any of the above, please briefly describe the situation below and provide all supporting documents.


AUTHORISATION

I have read and agreed to the General regulations: For students and their legal guardians from the IBO. For parents of IB Diploma students only, I have read “Subject Choices and Descriptions”	No Yes
I have read and understood the documentation relating to my child’s program (PYP, MYP, or DP).	No Yes
I authorise the school and/or the IB to use my child’s materials (work) from time to time for educational, training and/or promotional purposes.	No Yes
I authorise the school to share my child’s file and/or work or results with other potential schools (for school transition purposes).	No Yes
I authorise my child to participate in TIS sponsored activities during the school day within the Tashkent region. The specific activities, field trips, sporting events, etc will be published and a separate information form will be sent home for each as they occur. This indicates that you give general permission for your child to participate in such activities.	No Yes
I release the Tashkent International School, including all its members, teachers, coaches, and activity sponsors from all liability in case of an accident and/or injuries which may occur while my son/daughter is participating in an activity, field trip or sport, including during transport.	No Yes
I have read and agree to the Technology Usage Agreement Policy.	No Yes
I have read and agree to the dress code, tardy, absence, and behaviour guidelines.	No Yes
I understand that is it my responsibility to inform the school of any information changes, (i.e., driver, address, phone).	No Yes