Digital Registration

1 Child information 11 fields

Child's full name Required

Preferred name

Date of birth Required

South African ID number, if applicable

Home language

Nationality

Home address

Suburb

City/Town

Province

Postal code

2 Parent/guardian 1 7 fields

Full name Required

Relationship to child Required

Cell number Required

Work/alternative number

Email address Required

Employer/occupation

ID number

3 Parent/guardian 2 7 fields

Full name

Relationship to child

Cell number

Work/alternative number

Email address

Employer/occupation

ID number

4 Programme and fees 4 fields

Programme enrolled: half day, 08:30-14:00. Monthly school fee: R1500. Annual stationery/materials levy: R300. Registration fee: R1000, non-refundable, waived for flagship parents.

Commencement date

Preferred payment date

Bank/reference to use for payment

We agree to the terms and conditions in the registration agreement. Required

5 Emergency contacts and authorized collection 17 fields

Only people listed here will be permitted to collect your child. If someone not listed needs to collect your child, please notify the school on WhatsApp on the day.

Emergency contact 1, not parent

Full name

Relationship to child

Cell number

Alternative number

Authorized to collect child?

YesNo

Emergency contact 2

Full name

Relationship to child

Cell number

Alternative number

Authorized to collect child?

YesNo

Emergency contact 3

Full name

Relationship to child

Cell number

Alternative number

Authorized to collect child?

YesNo

Are there any court orders or legal restrictions regarding who may or may not have contact with your child?

YesNo

Please provide details if applicable

6 Medical and allergy information 22 fields

This information is confidential and held securely. It is shared only with staff directly responsible for your child.

7 Emergency medical authorization 11 fields

In a medical emergency, staff will attempt to contact parents immediately. If parents cannot be reached, staff will contact the emergency contacts listed above. If the situation is life-threatening, emergency services will be called without delay.

Blood type, if known

Medical aid name and number

Hospital preference

Treating doctor

Medication name authorized during school hours

Dosage

Time

Condition treated

We authorize school staff to act in the best interest of our child if we cannot be reached, including calling emergency services, consenting to emergency treatment, administering basic first aid, and sharing this form with treating medical personnel. Required

Does your child have any objection to receiving blood products on religious grounds?

YesNo

If yes, please specify

8 Media release 7 fields

Please select Yes or No for each type of image/video use. You may update your preferences at any time by notifying the school in writing.

9 Sunscreen, insect repellent, and incidental medical permission 8 fields

Children spend time outdoors every day. Please provide a labelled bottle of sunscreen for reapplication during the day.

We give permission for school staff to assist our child with sunscreen reapplication during the school day.

YesNo

Brand/product name of sunscreen provided, if known

Does your child have any known sensitivity or reaction to sunscreen products?

YesNo

If yes, please describe and list any products to avoid

We give permission for school staff to assist our child with insect repellent application if provided from home.

YesNo

We authorize school staff to clean and dress minor wounds, apply a cold pack, remove splinters with sterile tweezers, and monitor/comfort a child after a minor bump to the head while contacting parents immediately.

YesNo

Is your child allergic to any first aid products, such as plasters or antiseptic?

We understand the school does not keep or administer over-the-counter medication without explicit written authorization per medication.

10 Parent handbook acknowledgement 12 fields

Please confirm that you have read and understood the parent handbook and agree to uphold the policies as a member of the school community.

11 Typed signatures 4 fields

Typing your name confirms the same acknowledgement as signing the printed registration pack.

Parent/guardian 1 name Required

Parent/guardian 1 date Required

Parent/guardian 2 name, if applicable

Parent/guardian 2 date, if applicable

Emergency contact 1, not parent

Emergency contact 2

Emergency contact 3