Baker & Bloom Kindergarten Program 2024/2025 Enrollment Form

Baker & Bloom Kindergarten Program 2024/2025 Student Enrollment
Full name of student as appeared on identity documents*

First NameLast Name
   Media Release Form

Students will be studying a media-rich curriculum, which will often include the use of video and photography. It is therefore inevitable that student images will feature in student work. In addition, we'd love to share our teachers' and students' experiences so that our school's approach to innovative education can benefit more students in the future.

To this end, we may occasionally have to use student imagery in promotional materials, which will include general promotion, social media, and on our website. We do not propose to share these images with third parties, and we will take the necessary care to protect the privacy of our students and families. Students will similarly be taught how to respect each other's privacy as part of our focus on media literacy and persistent online identities.

So that this work can be done, we request parents to give explicit consent that these images may be used for the purposes stated above.

I, hereby grant permission to Baker & Bloom to take photographs and/or digital images of my child / children for use in media releases and/or educational materials. Images may be used in printed publications or materials such as brochures or posters, electronic publications (such as email newsletters) or social media, or on Bloom KKCA Academy's website.

Signature

Signature

Parent / Guardian
Name:     First Name   Last Name
Date:   Date

For amendment of consent after submission of this form, please contact admissions@bloom.edu.hk.
Emergency Contact Form and Release Information
Other than the child/children's parents, Baker & Bloom is authorized to release my child/children to:

First/Last Name:   First Name   Last Name

Address:   Street Address   Address Line 2   District

Relationship to Child: Your Name

Work Phone:  Phone Number  Home Phone:   Phone Number Cell:  Phone Number

E-mail:   Email

First/Last Name:   First Name   Last Name

Address:   Street Address   Address Line 2   District

Relationship to Child: Please state

Work Phone: Phone Number   Home Phone: Phone Number  Cell:  Phone Number

E-mail:   Email

First/Last Name:   First Name   Last Name

Address:    Address Line 1   Address Line 2   District

Relationship to Child: Please state

Work Phone: Phone Number   Home Phone:  Phone Number   Cell:  Phone Number

E-mail:   Email

OUT-OF-TOWN CONTACT (In case local contacts cannot be reached)

First/Last Name:   First Name   Last Name

Address:   Address Line 1   Address Line 2   District

Relationship to Child:Please state
Work Phone: Phone Number Home Phone:  Phone Number  Cell:   Phone Number
E-mail:   Email
Health & Confidential Information Form
The following information is required to promote the safety and wellbeing of students. It will be treated as confidential and is meant to aid administrators and educators in day-to-day operations.

Agreement and Authorization for Medical Treatment
I, Your Name , (HK Identity Card Number: HKID ), am the parent/guardian of Student Name Second Student (if any) Third Student (if any) If my child/children suffer from an illness or have an accident, Baker & Bloom should first seek medical advice from the parent/guardian, (relationship to student(s): Please state ).
If I, or the aforementioned person, cannot be contacted, Baker & Bloom is authorized to send my child/children to the Accident and Emergency Department of a government hospital for any necessary medical treatment on my behalf. I agree to my son/daughter receiving emergency medical treatment as considered necessary by the medical authorities present. If application of anesthetic and/or surgical operation is required, Baker & Bloom is authorized to sign all necessary documents and I will be responsible for expenses incurred. The Baker & Bloom staff will continue to reach the parents and guardians of the child/children, until contact has been made.

I acknowledge the need for responsible behavior on the part of my son/daughter, and I will inform Baker & Bloom immediately of any changes in medical conditions or circumstances. I understand that Baker & Bloom will not be responsible for any consequences of medical treatment.
My child has the following allergies or intolerances:
Physician Contact Information
Name of Physician
Phone Number of Physician
Parent/Guardian

First NameLast Name
Date

DayMonthYear
Date
Signature

Clear
Will your child/children need to take medication during the school day?*

YesNo
If yes, please complete this separate form for medication.

Medical Administration Release Form
Please upload copies of your child's/children's HKID (front and back).*

Cancelof
Please upload copies of your child's/children's Birth Certificate.*

Cancelof
If the Birth Certificate is not from Hong Kong, please upload copies of:

1. Your child/children's Passport

2. At least one parent's HKID as Permanent Resident or Work Visa for proof of your Hong Kong residency status
Cancelof
Terms and Conditions

Enrolment

Upon submission of the Baker & Bloom Kindergarten Program Online Enrolment Form, your child is officially enrolled in the program for the corresponding school year.
1. Parents are liable to a non-refundable payment of one-month tuition which will serve as the first instalment of the enrolled school year.
2. Please take note that the annual school fee for the 2024/25 academic year is HKD 96,450, payable over 10 instalments. We expect tuition fee adjustment for 2025/26 academic year.
3. A non-refundable annual miscellaneous fee of HK$4,000 will be charged at the beginning of each academic year.
Withdrawal

If your child is going to withdraw from school, please notify the school via email at admissions@bloom.edu.hk.
1. Please notify Baker & Bloom at least 30 days before the last attendance date.
2. Should it be an urgent withdrawal effective immediately, parents are liable to full tuition for the month of withdrawal regardless of the number of school days attended that month.
3. The annual miscellaneous fee is not to be refunded upon withdrawal.
Financial Aid Assistance

If your child receives financial support from Bloom, there is an expectation that they will remain at Bloom until graduation from K3. Apart from family circumstances requiring the family’s relocation from Hong Kong, if your child leaves prior to graduation, the family may be asked to repay the financial aid fees granted during all of their time here with us.

Financial aid recipients are obliged to inform Bloom KKCA Academy immediately should their family’s financial situation improve. We also reserve the right to review the financial status of each recipient family periodically to determine the eligibility for on-going financial support.
Signature*

Clear
Should be Empty:

Baker & Bloom Kindergarten Program 2024/2025 Student Enrollment

Emergency Contact Form and Release Information

Health & Confidential Information Form

Physician Contact Information