Admissions

Enrolment Form

PLEASE NOTE: Only parents who have paid their registration fee should complete this online registration form.

CHILD | Surname *
CHILD | Full names *
CHILD | Nickname
CHILD | Nationality *
CHILD | Date of birth *
CHILD | Child's Age *

Select child's gender

 *
CHILD | Home address *
CHILD | Religion
CHILD | Food restrictions

CHILD | Any special needs?

 *
CHILD | Specify child's special needs (if any)

CHILD | Select condition child is prone to

CHILD | Allergies or illness
CHILD | Serious operations or accidents *
CHILD | Upload copy of child's birth certificate *

Max file size (Mb): 2

Max number of files: 1

CHILD | Upload copy of child's immunisation card (Road to Health Card)

Max file size (Mb): 2

Max number of files: 1

CHILD | Upload copy of child's ID photo *

Max file size (Mb): 2

Max number of files: 1

Select what you are enroling your child for

 *

Who does your child live with (Primary residence)

 *
Specify "other" if previously selected
FATHER | Surname
FATHER | Full names
FATHER | Cell number
FATHER | E-mail address
MOTHER | Surname
MOTHER | Full names
MOTHER | Cell number
MOTHER | E-mail address
AUTHORISED PERSON 1 *
AUTHORISED PERSON 2 *
AUTHORISED PERSON 3 *
EMERGENCY CONTACT 1: Surname
EMERGENCY CONTACT 1: Full names
EMERGENCY CONTACT 1: Cell number

Who will be responsible for payment of the school fees

 *
If "other" was selected for the payment of fees please specify

Who is completing this application form

 *
FEES ACKNOWLEDGEMENT *
INDEMNITY CLAUSE BELOW *

INDEMNITY CLAUSE

I hereby indemnify and undertake to maintain such indemnity regarding Ebukhosini Daycare and After Care, any Director of the school, the Principal, staff and / or any person(s) who act on instruction from the school, on behalf of myself, my executors,  my spouse and child in respect of all actions, lawsuits, liabilities, claims, compensation, costs and expenses that may arise as a result of any loss, injury or damage of the person or property of my child that may occur during a school day / sport day on the premises of the school as well as during any participation in activities.