Apply Online ENROLMENT FORM APPLYING FOR ACADEMIC YEAR *Please Choose academic year2022 / 20232023 / 20242024 / 2025Please Choose Your Campus *Shomoukh Campus Al MoujShomoukh Campus Al QurumCHILD INFORMATIONChild Name (as per passport) *Preferred Name *Nationality (as per passport) *Date of Birth (dd/mm/yy) *Gender *MaleFemaleReligion *IslamChristianOther religionOther ReligionNative Language *Other LanguagesAddress *PREVIOUS NURSERIES/SCHOOLS INFORMATIONNursery/School NameCountryAcademic YearsNursery/School NameCountryAcademic YearsSIBILINGS INFORMATIONNameClassStatusNewEnrolled at ShomoukhNameClassStatusNewEnrolled at ShomoukhADDITIONAL INFORMATIONHas your child been identified with or received services in any of the following ?Gifted and Talented *YesNoMedication to Aid the Learning Process *YesNoSmall Group Learning Support *YesNoADHD/ADD Interventions *YesNoIndividual Learning Support *YesNoBehaviour Management *YesNoSpeech Language Therapy *YesNoOccupational Therapy *YesNoList Other Interventions Here (Please provide documents):Choose the number of days your child is attending the nursery *3 Days a week4 Days a week5 Days a weekSelect your preferred days of attendance, preferably consecutives. (The chosen days are to be confirmed by the admission team on the final step of enrolment) *SundayMondayTuesdayWednesdayThursdayPARENTS/GUARDIAN INFORMATIONFather's Name *Mobile No. *Occupation *Email Address *Home Phone No.Office Phone No.Mother's Name *Mobile No. *Occupation *Email Address *Office Phone No.Home Phone No.Guardian's NameMobile No.Email AddressRelationshipTRANSPORTATION DETAILSName & phone number of the persons who will drop off and pick up the child:Name of the person who will drop off the child *Phone *Name of the person who will pick up the child: *Phone *MEDICAL FORMTo be completed prior to admission. The information will greatly assist the nursery when dealing with any emergencies during nursery hours.Doctor's NameClinic/HospitalEmail addressPhone No.ALLERGIESDoes your child have any known allergies? *YesNoPlease complete the following. Non-completion is taken as indicating no known allergiesAllergenReactionTreatmentAllergenReactionTreatmentHEALTH HISTORYPlease indicate with a ✓ if your child has experienced any of the following:Chicken Pox *YesNoAsthma *YesNoMeasles *YesNoKidney Difficulties *YesNoEczema/Skin Conditions *YesNoSpeech Difficulties *YesNoRubella *YesNoVisual Difficulties *YesNoMalaria *YesNoEpilepsy *YesNoOrthopaedical Difficulties *YesNoWhooping cough *YesNoTuberculosis *YesNoHearing Related Difficulties *YesNoDiabetes *YesNoOther Health Difficulties *YesNoPlease provide details of other health difficulties if anyOtherPermission to administer non-prescriptive medicines such as lbuprofen, Paracetamol, Anti-histamines and Insect bite cream. *YesNoEMERGENCIESIn the event of your child having any illness or an accidental injury whilst at the nursery, we reserve the right to administer First Aid and emergency treatment. If the Parent/Guardian cannot be reached, it is at discretion of the nursery to take the child to the hospital of their choice if deemed necessary. Parent/Guardian will be asked to pay all costs incurred and take full responsibility for the treatment required. Please list two people that can be contacted in case of emergencies.Name *Mobile No. *Name *Mobile No. *REQUIRED DOCUMENTSKindly submit the following documents to the admission department:1. Copy of child valid passport (for Omani & non Omani)2. Copies of parents valid passports (for Omani and non-Omani) 3. Copy of Omani resident card of the child and parents (both sides) 4. Recent passport-size photographs for the child and parents 5. Copy of birth certificate attested and translated to Arabic or English 6. Copy of vaccination certificate/records7. Copies of valid passport or Omani resident card of the persons who will drop off and pick up the child 8. Copy of Health Insurance (if available) 9. If the child is coming from outside Oman, the report should be attested by the Ministry of Education, the Ministry of Foreign Affairs and the Embassy of Oman in that country or the relevant ministry for GCC Countries.10. If transferring from another school in Oman, the educational portal transfer number/letter issued by the previous school is required. The registration is considered provisional until the transfer is completed.11. If transferring from a school outside of Oman: Oman Ministry of Education equivalency is required. Registration will only be possible upon the approval of the MOE.Acknowledgement *I hereby certify that the information provided on this form is true. I am responsible for any liability arising from any false or missing information. I have read and understood all the information on the Shomoukh enrolment form and I fully agree to be bound with them.Submit Application
