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Application Form
Please complete this form in full.
Start
Student Details
Allergies
Medical Aid
Siblings
Previous School
Parent
Contacts
Daily Options
Media Channel
Supporting Documents
Finish
Start Dates
Proposed Start Date Term
Select Term
Term 1
Term 2
Term 3
Term 4
Of Year
2024
2025
2026
2027
2028
2029
Proposed Start Date
Student Details
First Name
Last Name
Preferred Name
Gender
Select Gender
Male
Female
Date of Birth
ID / Passport Number
Nationality
Select Nationality
South African
Mosotho
Botswana
Zimbabwean
Other
Place of Birth
Select Place of Birth
South Africa
Lesotho
Botswana
Zimbabwe
Other
Religion
Select Religion
Christian
Muslim
Atheist
None
Other
Home Language
Select Home Language
Afrikaans
English
Ndebele
Sesotho
Setswana
Sepedi
Shona
Zulu
Other
Allergies
Allergies
Allergy Action Required
Allergy Status
Select Allergy Status
Not Applicable
Low Risk
High Risk
Compulsory Immunisations Up to date
Please choose ...
Yes
No
Unsure
Medical Aid
Medical Aid Scheme
Medical Aid Number
Primary Member Details
Disclose wherether your child sufferes from any of the following conditions:
Emotional Issues
Medical Conditions
Psychological Problems
Social Issues
Other
Medicine Not To Be Administrated At School
Home Medication
Dietary Requirements
Select Dietary Requirements
None
Gluten free
Halaal
Vegan
Vegetarian
Siblings
Select Gender
Male
Female
Previous School
School Name
Parent / Guardian Details
Guardian 1
Relationship To Student
Select Relationship
Mother
Father
Grandmother
Grandfather
Step Mother
Step Father
Guardian
Aunt
Uncle
First Name
Last Name
Title
Select Title
Ms
Miss
Mrs
Mr
Dr
Prof
Rev
Sir
Hon
Email
Mobile Phone Number
Address
ID / Passport Number
Nationality
Select Nationality
South African
Mosotho
Botswana
Zimbabwean
Other
Marital Status
Select Marital Status
Single
With Partner
Married
Separated
Widowed
Occupation
Employer
Reside with Student?
Select Answer
Yes
No
Part Time
Guardian 2
Relationship To Student
Select Relationship
Mother
Father
Grandmother
Grandfather
Step Mother
Step Father
Guardian
Aunt
Uncle
First Name
Last Name
Title
Select Title
Ms
Miss
Mrs
Mr
Dr
Prof
Rev
Sir
Hon
Email
Mobile Phone Number
Address
ID / Passport Number
Nationality
Select Nationality
South African
Mosotho
Botswana
Zimbabwean
Other
Marital Status
Select Marital Status
Single
With Partner
Married
Separated
Widowed
Occupation
Employer
Reside with student?
Select Answer
Yes
No
Part Time
Contact information
Doctor's Contacts
Doctor's Name
Doctor's Email
Doctor's Mobile Phone Number
Approved Pick Up Person 1
Full Name
Email
Mobile Phone Number
Approved Pick Up Person 2
Full Name
Email
Mobile Phone Number
Emergency Contact
Contact Person
Emergency Contact Email
Emergency Contact Phone Number
Daily Options
Full Day
OR
Half Day
After Care
Tutoring
Media Channel Permissions
Do you consent to your child appearing in all School related media?
Select Option
Yes
No
Upload a recent headshot of your child
Supporting Documents
Student's Birth Certificate
Parent 1 ID / Passport
Parent 2 ID / Passport
School Report
Proof of Address
Student Immunization Record
Submit Application
I Agree Terms & Coditions
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