Grade Level for SY 2021-2022 (required) —Please choose an option—NurseryKinder 1Kinder 2Grade 1Grade 2Grade 3Grade 4Grade 5Grade 6Grade 7Grade 8Grade 9Grade 10Grade 11Grade 12 Enrollment Status (required) —Please choose an option—OldNewTransfereeReturneeHome School Your Name (required) Date of Birth (required) Previous School (required) Your Email (required) Contact Number (required) Parent or Guardian Name (required) SURVEY (Pls. answer the following questions about your online connectivity at home) Devices available at home (check as many as available) Cable TVNon-cable TVBasic cellphoneSmartphoneTabletRadioDesktop ComputerLaptopNoneOthers Do you have a way to connect to the internet? YESNO What distance learning modality/ies do you prefer for your child? Online LearningModular Learning I hereby certify that the above information given are true and correct to the best of my knowledge and I allow Megumi Academy, Inc., to use my child's details to create and/or update his/her learner profile in the LIS. The information herein shall be treated as confidential in compliance with the Data Privacy Act of 2012. School Bank Account Details Bank Name: METROBANK Account Name: MEGUMI ACADEMY INC Account Number: 653-7653029353
