This is the Student Registration form of Qalam Collegiate Academy, please complete all the steps to for Successfully applying for admission.
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#5 Health Information Section
Local Doctor's Name
My Daughter has Health Insurance
In the event that my daughter becomes ill or is injured at school and I cannot be reached, Qalam Collegiate Academy is authorized to contact the person(s) listed below, or Call 911 and transport my daughter to a hospital and is given consent for emergency care depending on the severity of the injury or illness. The Academy is NOT financially responsible for any emergency care and/or transportation.
Relative of the Student
The Information Provided by me is correct
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