Admission Form

Full Name *

Name Last Name Mother's Last Name
Date *

Month Day Year
Grade *
Physical Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Mailing Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Home Phone *

Area Code Phone Number
Previous School *
Birth Date *

Month Day Year
Birth Place *
Religion *
Parents Marital Status *
Father's Name *

First Name Last Name
Telephone (Father) *

Area Code Phone Number
E-mail (Father) *
Occupation (Father) *
Mother's Name *

First Name Last Name
Telephone (Mother) *

Area Code Phone Number
E-mail (Mother) *
Occupation (Mother) *
Alumnae Mother and/or Sister? (include Name, Relationship and Graduation Year)
Name and Grade of sister(s) who are currently registered in Academia María Reina:
Required Documents:
- 2” x 2” photograph of the student
- School transcript (since first grade up to December of current grade)
- No-debt certificate from the current school
- PVac-3 form (vaccination certificate) according to Law 25 (including Human Papilloma Vaccine - HPV)
- Behavior report from previous school
- Oral examination certificate according to 393 administrative ordinance (only for eighth and tenth grades).
Should be Empty: