East Caribbean Baptist Mission - Application For Admission

Application For Admission

Baptist Academy of Antigua
Radio Range, St. John's, Antigua
Tel: (268) 462-2894

Please submit the following items to the school's office to complete the application:

A. Copy of Birth Certificate
B. Copy of Up -To-Date Health Card
C. Passport-size Photo
D. Copies of Last 3 Academic Reports (if applicable)

Student's First Name

Student's 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

Emergency Contact

Emergency Contact Phone Number

Family Doctor

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 facts stated in this application are true and that all the copies are true to the original documents.

Email Address

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