Aftercare Application form Assumption Convent School

Assumption Convent Primary School

After care
AFTERCARE RE-REGISTRATION FORMS

PLEASE NOTE: Aftercare is calculated at an annual rate and divided into 11 payments for affordability. Please refer to school fee schedule for monthly cost
Learner Full name and Surname

First NameLast Name
Grade
PLEASE TICK ONE OF THE FOLLOWING: Learners WILL or WILL NOT attend aftercare

AFTERCARE FEES FOR 2026

available from afterschool to 18:00(6pm)

R1125 x 11= R12375	Per month January to November	Gr 1-7
R850 x 11 = R9350	Per month January to November	Gr RRR - R

AFTERCARE REGISTRATION FORMS
Date of Commencement:

MonthDayYear
Date
Days attending
Date of Birth

MonthDayYear
Date
Identity Number
Telephone Number
Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Fathers Full Name and Surname

First NameLast Name
Cell No
Mothers Full name and Surname

First NameLast Name
Cell No
Details of a reliable contract person who can be contacted if parents are not available:

Name and Surname of personRelationship to learner
Cell No
INDEMNITY FORM

CONDITIONS OF INDEMNITY:
1. My child will obey all the instructions given by the teacher/s in charge.
2. I will be held responsible for all medical and/or hospital accounts which may occur.
3. Provided all efforts to contact me have failed, I cede my power as parent/guardian to the principal of the school or his representative should medical treatment/surgery be deemed necessary for my child.
My child is as far as I know in good health and the following should be noted by the persons responsible for activities at after care Please state clearly if there are any allergies special medications epilepsy abnormal bleeding etc
Doctors Name and Telephone no

Doctors NameDoctors Phone no
Name of Medical Aid and Number

Medical aid Medical aid no

Assumption Convent Primary School