School Enrolment Form

School Enrolment Form

Reg no: 2023/605425/07
Student Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Age
Child ID/Birth Certificate Number
Gender
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityProvince

Postal / Zip Code
Current Grade
School Year
Applying Grade and Year
Current School Address

Street Address

Street Address Line 2

CityProvince

Postal Code
Parent/Guardian's Information
Parent/Guardian's Name - Primary

First NameLast Name
Name

First NameLast Name
Occupation
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian's Name - Secondary

First NameLast Name
Occupation
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
In case of emergency, who will be notified? Please answer the fields below:
Emergency Contact Person

First NameLast Name
Emergency Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
File Upload

Birth Certificate, Last report, Parent/Guardian ID's and Proof of Address
Upload
Health History
If the learner have any allergies, please list them down below:
Does the learner currently taking any medications? If yes, please list them down below:
Was the learner previously hospitalized or undergo any surgery?
Does the learner have any medical conditions that you would like to declare?
Accepted of Enrolment
This Enrolment will not be accepted unless all information required is provided, is true, and is signed by both parents/guardians. We reserve the right to amend or alter the terms and conditions of the enrolment application

Application Fee: R300

Placement/Registration Fee:

Grade 8 - 9: R3300

Grade 10 - 12 R5500

NB: Application form will be completed with our Head of Department(HOD)
Date Signed

MonthDayYear
Date
Parent/Guardian Signature
Should be Empty:

School Enrolment Form

Parent/Guardian's Information

File Upload

Health History

Accepted of Enrolment