Application Form | Enrolment

Section A: Child Details

First Names *

Second Names

Surname *

Date of Birth *

Sex *

Male Female

Grade Applying For *

Residential Address *

Name of Previous School

Extracurricular Activities

Sport & Preferred Club / Special Skills

Other Special Needs

Provide Required Documents: You are required to bring the following documents to the school for confirmation or send them via email to admissions@luminaschool.co.zw.
You can also upload the files here if they are ready. (PDF/Image max size 1MB each)

Birth Certificate

Max 1MB

Previous Report

Max 1MB

Transfer Letter

If Applicable

Section B: Clinical & Support Information

1. Has your child received a formal autism diagnosis? *

Yes No Under Assessment

2. If Yes: Who made the diagnosis?

Date of Diagnosis

Location of Assessment

3. Additional Diagnoses (Tick all that apply)

ADHD Global Dev. Delay Speech & Lang Disorder Sensory Processing Disorder Epilepsy Other

4. Clinical Reports: Please upload Diagnostic Reports, Therapy Reports, or current Support Plans if applicable.

Upload Clinical Documents

Diagnostic/Therapy Reports

5. How does your child primarily communicate?

Verbal (Full Sentences) Verbal (Single Words) Echolalia Gestures PECS / Visual Supports Non-verbal

Behaviour & Regulation

6. Does your child engage in: (Tick all that apply)

Self-injurious behaviour Hit / Bite / Scratch others Elopement (Runs away) Severe Meltdowns Property Destruction

7. What triggers distress or meltdowns?

8. What strategies work best to calm your child?

Section C: Parent/Guardian Details

Full Name *

Relationship to Child *

ID Number *

Enter the ID Number exactly in the format shown above.

Contact Numbers *

WhatsApp Number

Email Address

Occupation & Name of Employer *

Section D: Declaration

I confirm that the information provided in this application is true and correct.

I agree to the school Terms and Conditions.