BLAIRCARE REGISTRATION 2025

BPS BLAIRCARE 2025 REGISTRATION FOR TERM 1-4
Dear Parent/Guardian,

Welcome to Blaircare!

Blaircare operates exclusively for registered learners at Blairgowrie Primary School.

Please complete and submit the following online Registration form with your
selection. A copy will be emailed to you after completion.

The afternoon offering includes daily lunch and a mid-afternoon snack.

2025 Yearly registration is R12 000 p/a with a 5% discount being R11 400 if paid in full before 15 January 2025, or R1090 p/m payable by the 7th of each month.

Any queries to be directed to Trish Coleman on 011 782 5406/087 004 5178 or email: aftercare@bpschool.org.za
Email*
example@example.com

BPS BLAIRCARE 2025 REGISTRATION FOR TERM 1-4
*Please make payment directly to the school via EFT:

*Please send through Proof of Payment to aftercare@bpschool.org.za.

*Processing of registrations takes 48-hours on working days.

*School fees must be paid up to date with no arrears in order to attend Blaircare.

*Payment is required before attendance and Blaircare must be informed of the first day of attendance once approved.

*Official 2025 start date for aftercare is the 15th of JANUARY.
Please indicate requested start date at Blaircare (upon registration approval: minimum 48 hours)*

MonthDayYear
Date
Do you give permission for your child's photos to be taken during aftercare activities? *

BPS BLAIRCARE 2025 REGISTRATION FOR TERM 1-4
Child's Details (#1)*

First NameLast Name
Grade (Child #1) *
Date of Birth (Child #1) *

MonthDayYear
Date
Gender (Child #1) *
Do you want to register another? (Child #2) *

BPS BLAIRCARE 2025 REGISTRATION FOR TERM 1-4
Child's Details (#2)*

First NameLast Name
Grade (Child #2) *
Date of Birth (Child #2) *

MonthDayYear
Date
Gender (Child #2) *
Do you want to register another? (Child #3) *

BPS BLAIRCARE 2025 REGISTRATION FOR TERM 1-4
Child's Details (#3)*

First NameLast Name
Grade (Child #3) *
Date of Birth (Child #3) *

MonthDayYear
Date
Gender (Child #3) *

BPS BLAIRCARE 2025 REGISTRATION FOR TERM 1-4
Relation to the enrolled child/ren*

BPS BLAIRCARE 2025 REGISTRATION FOR TERM 1-4
Please select registration type:*

New Registration at BlaircareHave previously Registered at Blaircare Full Time

BPS BLAIRCARE 2025 REGISTRATION FOR TERM 1-4
Parent's Details (#1 A)

BPS BLAIRCARE REGISTRATION
Full Name (Parent #1) *

First NameLast Name
ID Number (Parent #1)*
Contact Details: Cellphone Number (Parent #1)*
Contact Details: Home Telephone Number (Parent #1) *
Contact Details: Work Telephone Number (Parent #1)*
Contact Details: Email Address (Parent #1)*
example@example.com
Home Address (Parent #1) *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
I hereby accept that I am jointly and severally responsible for all communication and payments with Blaircare*
Do you want to add another parent?

BPS BLAIRCARE 2025 REGISTRATION FOR TERM 1-4
Parent's Details (# 2A)

BPS BLAIRCARE REGISTRATION
Full Name (Parent #2) *

First NameLast Name
ID Number (Parent #2)*
Contact Details: Cellphone Number (Parent #2)*
Contact Details: Home Telephone Number (Parent #2) *
Contact Details: Work Telephone Number (Parent #2)*
Contact Details: Email Address (Parent #2)*
example@example.com
Home Address (Parent #2) *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Work Address (Parent #2)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
I hereby accept that I am jointly and severally responsible for all communication and payments with Blaircare*

BPS BLAIRCARE 2025 REGISTRATION FOR TERM 1-4
Parent's Details (# 1B)

BPS BLAIRCARE REGISTRATION
Full Name (Parent #1) *

First NameLast Name
Contact Details: Cellphone Number (Parent #1)*
Contact Details: Email Address (Parent #1)*
example@example.com
I hereby accept that I am jointly and severally responsible for all communication and payments with Blaircare*
Do you want to add another parent? #2B*

BPS BLAIRCARE 2025 REGISTRATION FOR TERM 1-4
Parent's Details (# 2B)

BPS BLAIRCARE REGISTRATION
Full Name (Parent #2) *

First NameLast Name
Contact Details: Cellphone Number (Parent #2)*
Contact Details: Email Address (Parent #2)*
example@example.com
#I hereby accept that I am jointly and severally responsible for all communication and payments with Blaircare*

BPS BLAIRCARE 2025 REGISTRATION FOR TERM 1-4
Parent's Details (#1C)

BPS BLAIRCARE REGISTRATION
Full Name (Parent #1) *

First NameLast Name
ID Number (Parent #1)*
Contact Details: Cellphone Number (Parent #1)*
Contact Details: Home Telephone Number (Parent #1) *
Contact Details: Work Telephone Number (Parent #1)*
Contact Details: Email Address (Parent #1)*
example@example.com
Home Address (Parent #1) *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Postal Address with postal code (Parent #1)*
Work Address (Parent #1)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
I hereby accept that I am jointly and severally responsible for all communication and payments with Blaircare*
Add another parent?

BPS BLAIRCARE 2025 REGISTRATION FOR TERM 1-4
Guardian / Sponsor's Details (#1 D)

BPS BLAIRCARE REGISTRATION
Full Name *

First NameLast Name
ID Number *
Contact Details: Cellphone Number *
Contact Details: Home Telephone Number *
Contact Details: Work Telephone Number *
Contact Details: Email Address *
example@example.com
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Work Address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please provide your relationship with the child/ren*
Special instructions or important information we need to be aware of*
I hereby accept that I am jointly and severally responsible for all communication and payments with Blaircare*

BPS BLAIRCARE 2025 REGISTRATION FOR TERM 1-4
Emergency Contact Details (Not Parent details)

BPS BLAIRCARE REGISTRATION
Full Name (Emergency Contact)*

First NameLast Name
Relationship to child (Emergency Contact)*
Contact Details: Cellphone Number (Emergency Contact) *
Please enter a valid phone number.
Contact Details: Home Telephone Number (Emergency Contact)*
Please enter a valid phone number.
Contact Details: Work Telephone Number (Emergency Contact)*
Please enter a valid phone number.
Medical Information: Doctor's Name and Contact Details*
Medical Information: Medical Aid Name; Membership Number and Main Member's Name*
Medical Information: Allergies, medical conditions, special instructions. Please include food allergies and dietary requirements.*

BPS BLAIRCARE 2025 REGISTRATION FOR TERM 1-4
Terms and Conditions Acceptance

BPS BLAIRCARE REGISTRATION
I/We, the undersigned have read and understood the Blaircare Terms and Conditions as per below link.
Any other comments*

BPS BLAIRCARE 2025 REGISTRATION FOR TERM 1-4
General Consent and Indemnity Form

BPS BLAIRCARE REGISTRATION

I, the parent and/or legal guardian of the under-mentioned, over whom I have custody and control, hereby consent to my child / children as listed above to participate in the activities offered by Blaircare.

I further agree to the condition that, while every precaution will be taken for the safety and welfare of my child / children and for the care of his/her possessions, I will absolve and indemnify all persons, Blairgowrie Primary School, and all other organisations associated with any activity, should any prejudice, loss, damage, illness or injury occur to my child / children. This includes an indemnity against recovery of costs resulting from damage, loss and/or medical conditions or hospitalization or participation in the Blaircare activities offered.

I furthermore appoint the Principal or staff members supervising the activity to act in loco parentis in respect of my child, should the need therefore arise.
Tick below to indicate that you have read and agree to the General Consent and Indemnity Form above.*

I/We, the undersigned have read and understood the General Consent and Indemnity Form above.
Should be Empty:

BPS BLAIRCARE 2025 REGISTRATION FOR TERM 1-4

BPS BLAIRCARE 2025 REGISTRATION FOR TERM 1-4

BPS BLAIRCARE 2025 REGISTRATION FOR TERM 1-4

BPS BLAIRCARE 2025 REGISTRATION FOR TERM 1-4

BPS BLAIRCARE 2025 REGISTRATION FOR TERM 1-4

BPS BLAIRCARE 2025 REGISTRATION FOR TERM 1-4

BPS BLAIRCARE 2025 REGISTRATION FOR TERM 1-4

BPS BLAIRCARE 2025 REGISTRATION FOR TERM 1-4

Parent's Details (#1 A)

BPS BLAIRCARE 2025 REGISTRATION FOR TERM 1-4

Parent's Details (# 2A)

BPS BLAIRCARE 2025 REGISTRATION FOR TERM 1-4

Parent's Details (# 1B)

BPS BLAIRCARE 2025 REGISTRATION FOR TERM 1-4

Parent's Details (# 2B)

BPS BLAIRCARE 2025 REGISTRATION FOR TERM 1-4

Parent's Details (#1C)

BPS BLAIRCARE 2025 REGISTRATION FOR TERM 1-4

Guardian / Sponsor's Details (#1 D)

BPS BLAIRCARE 2025 REGISTRATION FOR TERM 1-4

Emergency Contact Details (Not Parent details)

BPS BLAIRCARE 2025 REGISTRATION FOR TERM 1-4

Terms and Conditions Acceptance

I/We, the undersigned have read and understood the Blaircare Terms and Conditions as per below link.

BPS BLAIRCARE 2025 REGISTRATION FOR TERM 1-4