Newton International School
Lagoon Campus
“An international community of learners striving for excellence and celebrating success”
P.O. Box: 8449 Doha, Qatar
Tel. No: +974 44122254
Fax No.: +974 44834568
E-mail: registrar.lagoon@newtoninternationalschool.edu.qa
info.lagoon@newtoninternationalschool.edu.qa
Website: www.newtoninternationalschool.edu.qa
APPLICATION FORM
All details must be completed
STUDENT DETAILS
First Name
Family Name
Gender
Nationality
MALE
FEMALE
Qatar ID No.
Date of Birth (DD/MM/YYYY)
Previous School Attended
Attach
Passport Photograph
Here
Religion
MEDICAL DETAILS
Please complete adjoined medical form
CONTACT DETAILS
Father’s Details
First Name
Company Name
Mobile No.
E-mail Address
Family Name
Occupation/Title
Work Tel. No.
Mother’s Details
First Name
Company Name
Mobile No.
Family Name
Occupation/Title
Work Tel. No.
E-mail Address
Residence
Area of Residence
Postal Address
Tel No.
P.O. Box No.
Fax No.
DETAILS OF BROTHERS/SISTERS ALREADY IN NEWTON INTERNATIONAL SCHOOL
Full Name of Siblings
Age
Class
INVOICING INFORMATION
Does your employer pay tuition directly to the school?
Is the tuition paid directly by you?
YES
YES
NO
NO
Name of employer
OFFICE USE ONLY
Accountant’s Use
Registration Paid
Receipt No
Accountant
Signature
Date
Registrar’s Use
Start Date:
Class:
Academic Year:
SCHOOL APPLICATION REQUIREMENTS
An application will only be accepted for an entrance exam if the following requirements are met:
ACCOMPLISHED AND SIGNED Application Form
4x passport photographs
COPY of the previous school report
COPY of passport including the child’s residence visa for Qatar
COPY of parents’ passport, Residence Permit, and Qatar ID (BOTH father and mother)
COPY of child’s immunisation/vaccination record
ACCOMPLISHED AND SIGNED Medical Form
ACCOMPLISHED AND SIGNED Fee Regulation Form
SCHOOL APPLICATION PROCEDURES
1.
2.
3.
Return the completed application form together with all the requirements to the Admissions Department.
You will be notified of a test date for your child. Entrance examination fee is QR 200 and is non-refundable.
One week after testing, you will be informed by phone call whether the school can offer a place (only for those who passed the
entrance exam). To confirm your acceptance of this offer, you must visit the Accounts Department to pay the QR 2,500 NonRefundable Registration Fee and QR 5,000 deposit from Tuition Fee. Failure to pay the Registration Fee will result in this place
being offered to an alternative child.
Note: Please see attached Fee Regulation Form for payment reference.
UNDERTAKING
In the event of my child taking up a place at Newton International School, I hereby Undertake and agree that:
1. My child shall be subject to the applicable rules, regulations and discipline, as laid down by the Principal and his/her designated
representatives;
2. To pay the required Registration Fee to the school, which cannot under any circumstances, be refunded. I understand that if I
remove my child from the school in order to attend another school in Qatar, then I am again liable for the QR 2500/Registration Fee if the child re-enters Newton International School at a later date;
3. I will pay all the fees (which will be billed in advance) prior to the commencement of the term to which they apply, and I realize
that there will be no reduction fees if my child is absent for part of the term;
4. I absolve Newton International School, its employees and its agents from any responsibility for:
 The loss of valuables;
 Accidents or mishaps occasioned by participating in normal school life including, but not confined to, organized sports,
gymnastics, informal play, practical and craft work;
 The welfare and safety of my child outside the normal timetabled day and/or activities supervised by members of staff
of Newton International School. Newton International School will not be responsible for the safe delivery and collection
of children to and/or from the school; and,
 Any resulting accident or mishap should my child take unilateral action which is extra-curricular and without
permission.
5. I will give the school at least a full term’s notice of my intention to withdraw my child. If no such notice is given, a full term’s
fees will be payable.
Notes:
 All fees are payable on a term basis, in advance. All fees are non-refundable
 All cheques should be made payable to: Newton International School.
Please see attached Fee Regulation Form for payment reference.
In signing below, I confirm that I have read and understood the above Undertaking and agree to be bound by the terms and
conditions set out within it.
NAME
SIGNATURE
DATE
MEDICAL FORM
STUDENT DETAILS
Full Name
MALE FEMALE
Gender
Date of Birth
Attach
Passport Photograph
Here
Blood Group
Father’s Name
Work or Home Tel No.
Emergency No.
Mother’s Name
Work or Home Tel No.
Emergency No.
MEDICAL DETAILS
DOES YOUR CHILD HAVE ANY OF THE FOLLOWING PROBLEMS (PLEASE ENCIRCLE)? (IF YES, PLEASE EXPLAIN)
Allergy
YES
NO
___________________________
Asthma
YES
NO
___________________________
Diabetes
YES
NO
___________________________
Epilepsy
YES
NO
___________________________
Urinary Disorder
YES
NO
___________________________
Hearing Problem
YES
NO
___________________________
Heart Disorder
YES
NO
___________________________
Skin Problems
YES
NO
___________________________
Other Medical Problems
YES
NO
___________________________
Is your child taking any medication?
YES
NO
___________________________
Has your child had chickenpox?
YES
NO
___________________________
Has your child had measles?
YES
NO
___________________________
Does your child have a positive family history of Diabetes?
YES
NO
___________________________
Previous surgical operations?
YES
NO
___________________________
IN CASE OF EMERGENCY (IF YOU CANNOT BE REACHED), PLEASE CONTACT:
Please contact
Contact No.
Relationship to the child
As a parent/guardian, I authorise the school attending pediatrician to seek appropriate
treatment for my child in case of medical emergency that may endanger my child’s life.
________________________________________________
______________________
PARENT/GUARDIAN SIGNATURE
DATE