Enrolment Application

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Child Information

Please complete all required fields

Full Names *

Please enter the child's full names

Surname *

Please enter the surname

Known As

Gender *

Male Female

Please select gender

Date of Birth *

Format: YYYY/MM/DD

Please enter the date of birth

Home Language *

Please select home language

Additional Information

Siblings' Names

Allergies

Medical Conditions

Holidays / Celebrations Not Observed

Please tick any holidays or celebrations your family does not observe, so we can accommodate your child appropriately.

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Paying Parent / Guardian

Primary financial responsibility

Title *

Please select a title

Full Names as per ID *

Please enter full names

Relationship to Child *

Please select relationship

Occupation *

Please enter occupation

Identification

South African ID Number *

Passport Number (if no SA ID)

Home Address

Address Line 1 *

Please enter address

Address Line 2

Address Line 3

Address Line 4

Address Line 5

Postal Code *

Please enter postal code

Contact Details

Cell Number *

Please enter cell number

E-mail Address *

Please enter a valid e-mail address

Financial Responsibility

I agree to pay all school fees, penalties, interest, collection fees and legal fees when due.
By ticking this box you acknowledge financial responsibility for all amounts owing to the school.

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Other Parent / Guardian

Secondary contact (if applicable)

Full Name & Surname

South African ID Number

Passport Number (optional)

Cell Number

E-mail Address

Occupation

Home Address

Same address as paying parent / guardian
Tick to auto-fill from the paying parent's address above.

Address Line 1

Address Line 2

Address Line 3

Address Line 4

Address Line 5

Postal Code

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In Case of Emergency

Contact details for emergency situations

Contact Person *

Please enter emergency contact name

Contact Number *

Please enter emergency contact number

Relationship to Child *

Please select relationship

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Medical Emergencies

Medical aid and emergency treatment consent

In the event urgent medical treatment is required at hospital, may we call the ambulance for assistance? *

Yes No

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Terms & Conditions

Please read carefully before signing

Enrolment Agreement

I, the undersigned, hereby apply for the admission of my child (details hereover) to the school (hereinafter referred to as the Centre).

I undertake to:

indemnify on behalf of myself, my heirs, executors and my assignees, the Centre, its owners and employees against any damages whatsoever and any legal costs arising from any claim due to sickness or injury or death sustained during my child's stay at the Centre;
have or allow the child to be inoculated as per state policy and to produce proof of such immunization as requested;
at all times be subjected to the rules of the Centre as updated from time to time;
pay the specified monthly fees in advance on or before the first day of each month.
pay a non-refundable administration fee of R 350,00 (non-refundable);
written notice of one calendar month prior to being exempt from the payment of fees, and to pay the monthly fees per child regardless of whether the child attends the Centre or not, until completion of the written notice period. This applies to absence due to illness, holidays, or any other reason whatsoever. If notice is given in November and December, a two calendar month notice must be given;
being liable for any collection and legal fees incurred should the account be handed over for collection.
pay a surcharge of R 200,00 for late payment of fees;
deliver and collect my child personally and on time, or in the event of a third party collection, to make prior arrangements with the Centre; and to pay a late collection charge of R 80,00 per child for every 10 minutes.
grant permission, in the event of emergency, for the person in charge to act on own initiative;
to immediately advise the Centre of any change to the particulars and especially telephone numbers supplied overleaf;
ensure that no dangerous objects, glass bottles, toys or jewellery are brought to the Centre;
mark all clothing clearly. No responsibility will be accepted by the Centre for any loss or damage;
attend and allow my child to attend all meetings and outings as scheduled from time to time.

I, the undersigned, acknowledge that I agree to the terms listed above and that the particulars detailed overleaf are correct. I further agree to the jurisdiction of the local Magistrates Court in all disputes. I choose the residential address overleaf as my Domicilium Citandi et Executandi for all purposes.

I accept the Terms and Conditions as set out above.
You must scroll through and read the terms above before accepting.

Digital Signature

Signatory — Full Name & Surname *

Please enter your name and surname

Signatory — ID Number *

Date & Time (SAST — Auto-generated)

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⚠️ Financial Disclaimer: The school makes use of an outside firm to manage finances. School personnel or the owner will not discuss financial matters. All financial queries must be directed to: finance@yourschool.co.za

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Supporting Documents

Please upload all required documents

ℹ️ Please upload clear, legible copies. Accepted formats: JPG, PNG, PDF (max 10MB each). ID cards must be uploaded both front and back.

Paying Parent's ID / Passport

ID / Card — Front *

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Front of ID / Passport

ID Card — Back

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Back of ID Card (if applicable)

Up-to-date Inoculation / Vaccination Card *

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Upload child's inoculation / vaccination record

JPG, PNG or PDF · Max 10MB

Proof of Address *

Bank statement, utility bill or municipality account (not older than 3 months).

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Upload proof of residential address

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Review & Submit

Please verify all details before submitting

I confirm that all information provided is true and correct.
Submitting false information may result in the rejection of this application.

Child Information

Additional Information

Holidays / Celebrations Not Observed

Paying Parent / Guardian

Identification

Home Address

Contact Details

Financial Responsibility

Other Parent / Guardian

Home Address

In Case of Emergency

Medical Emergencies

Medical Aid Details

Terms & Conditions

Enrolment Agreement

Digital Signature

Supporting Documents

Paying Parent's ID / Passport

Up-to-date Inoculation / Vaccination Card *

Proof of Address *

Review & Submit

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