Enrollment form

Student

I am enrolling my child for *

Student's full name

First name *

Family name *

Date of birth *

Place of birth *

Nationality *

ID or passport number *

Languages spoken *

Gender * Female Male Other

Home address

Street address *

Address line 2

City *

State or province

Postal code

Country *

Intended start date at Palm River Academy

Leave this blank if you are not sure.

Parents and emergency contacts

Parent or guardian 1

First name *

Family name *

Relationship to the student *

Nationality *

ID or passport number *

Issue date *

Place of issue *

Language preference *

Phone number *

Email address *

Profession *

Same address as the student

Parent or guardian 2 (optional)

Leave this part blank if there is no second parent or guardian.

First name

Family name

Relationship to the student

Nationality

ID or passport number

Issue date

Place of issue

Language preference

Phone number

Email address

Profession

Same address as the student

Emergency contacts who are not the parents

Emergency contact 1

First name *

Family name *

Relationship to the student *

Mobile phone number *

Email address *

Emergency contact 2 (optional)

First name

Family name

Relationship to the student

Mobile phone number

Email address

Education and health

Education background

Tell us where your child has studied before. Leave this part blank if your child has not attended school.

Previous school 1

School, city and country

Language of instruction

Years attended

Grade levels

Previous school 2

School, city and country

Language of instruction

Years attended

Grade levels

Previous school 3

School, city and country

Language of instruction

Years attended

Grade levels

Has your child ever repeated a year or grade? * Yes No

Has your child had any academic issues? * Yes No

Has your child had any behavioral issues? * Yes No

Has your child had any developmental issues? * Yes No

Has your child ever been subjected to disciplinary action? * Yes No

Please explain if you answered Yes to any question

Health background

Has your child had any major surgery? * Yes No

Is your child currently under a physician's care for any reason? * Yes No

Does your child have a history of emotional health issues? * Yes No

Does your child have any issues that affect taking part in physical exercise? * Yes No

Does your child wear glasses or contact lenses? * Yes No

Does your child wear any dental caps, bridges, braces or plates? * Yes No

Please explain if you answered Yes to any of the above

Is your child allergic to any medication? * Yes No

Is your child allergic to any food? * Yes No

Does your child have any dietary restrictions? * Yes No

Please list any allergies (food or medication) and dietary restrictions

Medical declaration

I fully understand and accept that any medication brought to the Company must be accompanied by a written note from me as Parent/Guardian, and that the medication shall be submitted to the Company Nurse in the original pharmacy container(s) and marked with my child’s name, name of medication, its dosage, schedule and instructions. I fully understand and accept that it is my responsibility to notify the Company in writing of any changes to the information given in this medical section.

Photos and pick-up

Photo and social media consent *

Please choose one of these two options

Total useI consent to the unlimited use of my child’s photograph(s) by Company for promotional, educational, and other related purposes, including but not limited to publications, websites, social media, and presentations. Private use onlyI consent to the use of my child’s photograph(s) by Company for private and class-chat only purposes, which may include internal documentation, class materials, and teacher/student/class communications.

Policy clarification

I understand that Company will make reasonable efforts to honor the option I have selected above but cannot guarantee that my child's photograph(s) will not be captured incidentally during the Company activities or events. Additionally, I acknowledge that Company cannot control whether other parents or individuals will choose to post pictures or incidental photos of their child that may include my child.

Pick-up authorization

These people are allowed to pick up my child without PRA having to contact me first.

Person 1 (optional)

First name

Family name

Relationship to the student

Phone number

Person 2 (optional)

First name

Family name

Relationship to the student

Phone number

Person 3 (optional)

First name

Family name

Relationship to the student

Phone number

Contract, documents and signature

Admission contract

The undersigned Parent(s) and/or Guardian(s) (herein collectively referred to as “Parent(s)”) acknowledge and agree that this Admission Contract is a legally binding contract between Branch of Palm River Company Limited in Hoi An (herein collectively referred to as “the Company”) and such Parent(s) subject to acceptance of enrolment of an applicant by the Company.

1. Payment of fees

All fees must be paid in accordance with the published Schedule of Fees. The Company reserves the right to revise this Schedule at any time. Enrollment is contingent upon timely and full payment. If tuition is unpaid or delayed, enrollment may be canceled. No progress reviews will be issued until outstanding payments are resolved.

2. Withdrawal and refund

Tuition fees are non-refundable if a student withdraws or does not complete the academic year. For refund terms relating to meals and transportation, please refer to the Family Handbook.

3. Force majeure

In cases of force majeure (e.g., natural disaster, epidemic, war, etc.) that disrupt learning, the Company will take flexible action to uphold the academic year. The learning period includes pre-planned buffer days in case of flooding or storm-related closures. If additional disruptions occur, the Company will consider appropriate make-up solutions. Tuition will not be refunded in such cases, except for meals or transportation if applicable.

4. Parent responsibilities

4.1. Parents have an obligation to ensure that they and their child/children will: support and abide by the Company’s stated philosophy, goals and objectives; comply with all Company Policies and Rules (as set out in the Family Handbook published to parents and students, and as amended from time to time); ensure that the Student will comply with the Company’s behavior policy/code of conduct and applicable rules and regulations. In the case of non-compliance with the Company rules, the Company reserves the right to suspend or expel the student. In this event, the Company may decide, in its sole discretion, not to provide any refund or reduction in fees already paid or payable. Parents shall compensate the Company for any damage caused by the student’s misconduct.

4.2. Parents are expected to work closely and cooperatively with the Company throughout the student’s enrollment, including main programs, extracurricular activities, and remote learning courses if applicable.

4.3. Parents guarantee that all information submitted to the Company is accurate and up to date. The Company is not liable for any failure to contact the family or provide notices if updated information is not provided.

4.4. In emergencies where the Company cannot reach either parent or emergency contacts, the Company has the right to initiate appropriate medical action. Parents will be responsible for all related expenses.

4.5. If the Company requires parental approval, it is sufficient to obtain approval from one parent.

4.6. If the Company is unable to reach parents through multiple methods (calls, messages, emails), it reserves the right to determine the final course of action.

4.7. Parents and students agree to uphold the Company’s reputation, both online and offline. Any actions deemed harmful to the Company’s image may result in suspension or expulsion without refund.

4.8. Unless otherwise informed, the Company assumes the student will participate in all programs, activities, and events organized during the academic year.

5. Good faith clause

Both the Company and the Parents agree to engage in all future negotiations and dealings with each other in a spirit of good faith to uphold the terms of this agreement and the best interests of the Student. Parents are expected to communicate positively with the Academy and its community, both in public and private forums. All communication should aim for positive and constructive resolutions.

6. Curriculum exception

The Company supports students in reviewing for international and domestic certificates according to the schedule and based on the agreement with parents. By signing this agreement, parents fully understand that the Company's programs do not replace the national core curriculum as required by the Ministry of Education and Training of Vietnam.

I have read the admission contract and I agree to it. *

Documents

Photos or PDF files, up to 10 MB each, 12 files at most in all.

A profile photo of the student *

Add a file

A copy of the student's passport or ID card *

Add a file

Copies of the parents' or guardians' passports or ID cards *

Add a file

The most recent academic report (optional)

Add a file

Signature of the parent or guardian *

Sign with your finger or the mouse.

Your form goes to the PRA office and nowhere else. ID numbers and documents can be opened only by the person in charge of enrollment records. How we look after your information.

The enrollment form

Student

Parents and emergency contacts

Emergency contacts who are not the parents

Education and health

Education background

Health background

Medical declaration

Photos and pick-up

Policy clarification

Pick-up authorization

Contract, documents and signature

Admission contract

1. Payment of fees

2. Withdrawal and refund

3. Force majeure

4. Parent responsibilities

5. Good faith clause

6. Curriculum exception

Thank you. We have the enrollment form.