East Caribbean Baptist Mission - Application For Admission

Application For Admission

Baptist Academy of Antigua

Please submit these items to the school office to complete the application.:

A. Copy of Birth Certificate
B. Copies of last 3 Academic Reports
C. Up -To-Date Health Card

Student First Name

Student Last Name

Male

Female

Date of Birth

Parent/Guardian 1

Parent/Guardian 1 Address

Country

City

State

Zip/Postal Code

Parent/Guardian 1 Work Phone

Parent/Guardian 1 Home/Mobile Phone

Parent/Guardian 1 Email

Parent/Guardian 2

Parent/Guardian 2 Address

Country

City

State

Zip/Postal Code

Parent/Guardian 2 Work Phone

Parent/Guardian 2 Home/Mobile Phone

Parent/Guardian 2 Email

Family Doctor

Emergency Contact

Emergency Contact Phone Number

How were you informed about the Baptist Academy of Antigua?

To which grade/class are you seeking entrance?

Family Church Affiliation/Denomination

Pastor's Name

Church Phone Number

Declaration Statement:
I/We hereby declare that the details furnished above are true and correct to the best of my/our knowledge and belief and I/we undertake to inform you of any changes therein, immediately.

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Application For Admission

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