APPLICATION 2012

PLEASE TAKE NOTE THAT WE ARE A CHRISTIAN SCHOOL AND ALL TEACHINGS ARE BASED ON CHRISTIAN PRINCIPLES.
Please attach copy of Child’s Birth Certificate, Clinic Card, Medical Aid Membership Card and certified copies of both parent’s Identity documents to this form.
No child will be accepted at the school without the necessary documentation being completed in full and all copies attached to the documents.

CHILD'S DETAILS  

Child's Surname
Child's Full Names
Child's Nick Name
Child's Date of Birth
Child's Home Language
Child's Position in Family
Religeous Affiliation
Child's Residential Address
.
Name and Adress - previos Nursery
.

PARENTAL DETAILS  

Father's Surname
Father's Full Names
Father's Identity Number
Country of Citizenship
Father's Marital Status
Father's Home Language
Father's Residential Address
.
Name and Address of Employer
.
Father's Occupation
Work Home Cell
Fax Email Other

Mother's Surname
Mother's Full Names
Mother's Identity Number
Country of Citizenship
Mother's Marital Status
Mother's Home Language
Mother's Residential Address
Mother's Postal Address
.
Name and adress of Employer
.
Work Home Cell
Fax Email Other

MEDICAL INFORMATION  

Name of Medical Aid .
Membership Number .
Medical Aid Option .
Main Member's Surname & Initials .
Main Member's ID Number .
Child's know Allergies .
. .
Any medical details we should know about .
. .
. .
Chronic Medication .
Contact Details in Emergency
Full Names .
Work/ Home Cell
Fax Email Other
Full Names .
Work Home Cell
Fax Email Other

GENERAL INFORMATION  
Please mark appropriate option with
Has your child had any one of the following illnesses:
Measles:     Diphtheria:     Scarlet Fever:
Whooping Cough:     Chicken Pox:     Mumps:
.
Has your child been fully immunized?:
 
YES:     NO:
 
.
PCG & Polio (at birth)
 
YES:     NO:
 
.
Diphtheria/Whooping Cough/Tetanus (DWT/DPT)
6 weeks:     10 weeks:     14 weeks:     18 months:
.
Hepatitis
6 weeks:     10 weeks:     14 weeks:     18 months:
.
Measles
9 months:     18 months:     
.
Polio, Diptheria, Tetanus (DT) at five years
 
YES:     NO:
 
.
Does your child have any special problems?
 
YES:     NO:
If yes,please specify:
.
When did you first notice it?
 .

MEDICAL INDEMNITY   .

  1. As parent/guardian of said applicant, I do hereby grant permission for my child to participate in all school activities, which form part of the daily routine.
  2. The school reserves the right to seek medical assistance for a sick or injured child, although every effort will be made to contact the parent in this event. The parent or legal guardian will be liable for any costs resulting from medical assistance sought by Toddler Academy for your child.
  3. I, therefore undertake on behalf of myself, spouse, executors and applicant to indemnify and absolve Toddler Academy and its staff members against and from any and all claims whatsoever that may arise in connection with any loss and / or damage to the property or injury to my child at all times.
  4. I cede my powers as parents/guardian to the principal or her representatives should any emergency medical treatment/surgery be deemed necessary for my child if neither parent / guardian can be contacted in time.
  5. I accept that this general indemnity shall remain in force for the full duration of my child's registration at Toddler Academy. I further undertake to furnish the school with any alterations to the required information.
 
 
 
Signature of Parent   Date


Identity Number  

For Web Submit simply type Full names and Surname

SCHOOL OPTIONS Paid Over 10 months (Jan-Oct) or pro-rata up to the end of October
Please mark appropriate option with
. Registration Fee(Payable in advance-Once Off) . R 400.00 .
Full Day(07:00-17:30) . R 14,700.00 .
The fees indicated above are full annual fees based on one child at school from January to December. The fees are strictly payable over a 10 month period from January to October, which means that providing your account is up to date, there will be no school fees payable in November & December. This exclude transport fees. The monthly amount is thus R1,470.00 per month over the 10 month period.
Transport to and from Todller Academy ** . R 400.00
Transport Fees are payable every month through out the year and is not divided into 10 months, so Transport will still be payable in November and December. **Transport is only available within the vicinity of the school and only on certain routes. Please verify with the Principal if Transport is available in your area. In certain areas we also make use of external transport entities, but this is arranged separate from the school and is not supervised by the school either..
  Starting Date      .  

DETAILS OF PERSON RESPONSIBLE FOR PAYMENT OF THE ACCOUNT   .

Surname .
Full Names .
Identity Number .
Residential Address .
. .
Postal Address .
. .
Employer .
Work Home Cell
Fax Email Other

AGREEMENT   .

paid up by the 3rd of October. betaal deur die 3de Oktober. account.
1. The registration fee is payable in advance over and above the monthly school fees. This amount is not refundable.   . .
2. School fees are payable in advance before the 3rd day of each month.   . .
3. A monthly statement is issued calculated per annum over 10 months.   . .
4. School fees are payable monthly over a period of 10 months by the 3rd day of the month. However, all fees are to be fully   . .
5. Please note that no reduction in fees will be given during a child's absence due to illness or through being away on vacation.   . .
6. The school is open through out government school holidays, but is closed over weekends, all public holidays and closes in the second week in December and re-opens the Monday prior to the day that the government school’s re-open.   . .
7. Please try to ensure that the exact amount is provided when paying cash. Kindly note that we do not accept cheque payments.   . .
8. The payment must be placed in an envelope that is clearly marked with the child's name. A receipt must be obtained upon all payments   . .
9. A full calendar month’s notice is required of intention to remove a child from the school, no matter what the reason, failing which a full month’s fees shall be charged on the account and the parent will remain indebted to Toddler Academy for this amount until it is paid in full..   . .
10. An unpaid account will be handed over to a Debt Recovery Agency for all debt recovery and all costs incurred shall be for your   . . rekening.
11. All extramural activities shall be optional and for the account of the parent and shall be a separate agreement between parent and the service provider and Toddler Academy will NOT intervene in the event of a dispute.   . .
12. Parents shall be informed in advance with regard to additional outings arranged and this shall be for the cost of the parent and will be added to the monthly account of the school, unless otherwise specified.   . .
 
SIGNED AT ON THIS DAY OF20


SIGNATURENAME

RELATIONSHIP TO CHILD

WITNESS

For Web Submit simply type Full names and Surname

TRANSPORT INDEMNITY - DISCLAIMER   .

I / We, the undersigned, in our personal capacity and legal parents/guardian of
(Name Minor of Child)

hereby indemnify and discharge, TODDLER ACADEMY, 496A BUSH ROAD, WILLOW GLEN, PRETORIA, including any of its employees organisers, helpers, servants and agents against any liability or claims which may arise as a result of any reason whatsoever against the above mentioned persons, including but not limited to any illness, death, injury or any damages or loss to me or our child and/or any person or any dependant of mine or damage which arise or which is caused and also consequential damage which may arise for any reason whatsoever from the transport, which is delivered at my personal request from (Home Address)
to the premises of Toddler Academy and visa versa on a daily basis. I thus confirm that I will make use of the transport for my child and
where applicable my/our/his/her property at my own risk, and where applicable at our risk as parents and natural guardians of the
mentioned minor, by the above mentioned institution.

SIGNED AT ON THIS DAY OF20
Signature of Parent/Guardian

AS WITNESSES:

1. 2.
 

GENERAL RULES   .

  1. School hours are from 07:00 to 17:30. If you pick up a child later than 17:30, you will be fined R50 per 15 minutes or any part of 15 minutes after 17:30, and the total amount of the fine will be added to your next monthly account. Under no circumstances will we leave a child unsupervised. If no contact can be established with a parent or guardian after 18:30, the child will be taken to the closest place of safety.
  2. Children must be delivered at the front door of the school and not left at the school gate.
  3. Breakfast is served at 07:45 and fresh fruit at 10:00. Lunch is served from 11:15 to 12:00 and consists of meat, vegetables and a starch. Sandwiches are again served at 15:00 together with either a cold drink or Rooibos tea.
  4. All clothing and belongings of the child must be marked with his/her name and surname. The school does not accept responsibility for the loss of any unmarked clothing and articles. Parents may collect lost articles found at school from the lost goods basket.
  5. . All medicines must be handed in at the office daily. Do not send medicine to school in the child's school case or bag. Children running a temperature must not be brought to school. If your child will be absent for the whole day, the school must be informed of this fact beforehand or as soon as possible.
  6. Parents must advise the school IMMEDIATELY of any changes to address or telephone numbers. Failure to do so could have serious repercussions in the case of an emergency situation.
  7. All reasonable care is taken to ensure your child’s safety and well being. If you become aware of any problem your child may be experiencing either at home or at school, please make an appointment to discuss this with the Principal.
  8. The school is not subsidized by the Gauteng Education Department, but do however and as far as possible follow all guidelines and syllabusses and adhere to the policies of the GED.
  9. All children MUST be inoculated against smallpox and vaccinated against DPT. All vaccinations must be up to date. Failure to adhere to this rule will lead to immediate expulsion due to safety and health considerations.
  10. Children receive reports at the end of June and at the end of November each year.
  11. Annual concert and graduation takes place on the 1st Saturday in November of each year. I, the undersigned Parent/Legal Guardian, hereby acknowledge all school rules as set out above as well as the rules as set out in the Prospectus.='text' style="border-bottom:1px solid #000;width:300px;text-align:left;">
 
Signature of Parent
 
For Web Submit simply type Full names and Surname