New Applicant Enrollment

Please complete all sections. Required fields are marked with *.

Learner Details

Full Name *Date of Birth *ID / Passport No. *Gender *Grade Applying For *Home Language Religion Place of Birth Ethnicity Country Province Postal Code

Home Address *Child Resides With

Parent / Guardian (Fee Payer)

Full Name *Relationship *Contact Number *Email *Occupation Employer Work Phone City Postal Code

Home Address

Emergency Contacts

Contact 1 — Name *Contact 1 — Phone *Contact 1 — Relationship *Contact 2 — Name Contact 2 — Phone Contact 2 — Relationship

Medical Information

Doctor's Name Doctor's Phone Medical Aid / Card Name Account Holder

Doctor's Address Allergies Chronic Illness / Life-threatening Conditions

Permissions & General Information

Photographs for development / portfolio use

YesNo

Photographs for social media (school pages)

YesNo

Permission for local outings

YesNo

Is your child's immunization up to date?

YesNo

Does your child have any sleep problems?

YesNo

Sleep problem details (if applicable)

Authorised Collectors

Your child will only be released to people listed below.

Collector 1 — Name *Collector 1 — Relationship *Collector 1 — Phone *Collector 2 — Name Collector 2 — Relationship Collector 2 — Phone Collector 3 — Name Collector 3 — Relationship Collector 3 — Phone

Any other information we should know about your child?

All data is collected for school administrative and safety purposes in accordance with the Protection of Personal Information Act (POPIA).