Application Documents 2021 Grade 1 PART A - INFORMATION FORMPlease note that no incomplete forms will be accepted. A new Information Form needs to be completed and signed at the beginning of each year, and when any information pertaining to the said parents or guardians change during the course of any year.REGISTRATION FEE: A non-refundable R 1,000.00 registration fee is payable when submitting your application form. This application will not be processed unless this fee and all the relevant documentation has been received.LEARNERS DETAILS: Provide us with information on the learnerLearners First NamesAlso known AsSurnameDate of BirthGenderNationalitySA CitizenYesNoHome LanguagePlace of BirthReligionCurrent Learning FacilityReason for leavingPARENTS DETAILS: FATHER / GUARDIANPrefixMr.Mrs.Ms.Mx.MissDr.Prof.First NameSurnameID NumberOccupationName of employerCell Phone No.Work No.Email AddressPhysical AddressVehicle (Make & Model)Registration No.PARENTS DETAILS: MOTHER / GUARDIANPrefixMr.Mrs.Ms.Mx.MissDr.Prof.First NameSurnameID NumberOccupationName of employerCell Phone No.Work No.Email AddressPhysical AddressVehicle (Make & Model)Registration No.Medical Information RequiredMedical AidMembership NumberMain MemberID NumberFamily Doctor NameContact NumberDoctor AddressDoes your child have any allergies?Are there any foods or beverages your child should avoid?Child WeightFeeding RoutineBreastBottleOtherAny problems during pregnancy / birth?Any post-natal problems with child (jaundice etc)?Has your child had any operations?Has your child been in any serious accident or encountered any traumatic situation?Is your child on any chronic medication?Does your child have any habits that concern you?Is your child generally healthy?Does your child have a healthy appetite?Is your child completely potty trained?PART B - FINANCIAL AGREEMENTParents/Guardians are hereby informed that a Financial Agreement will need to be completed and signed upon enrolment and for every following year for as long as the child(ren) remain enrolled at Little Rascals Pre School.1. REGISTRATION FEEThis enrolment is subject to the payment of a non-refundable registration fee in the amount of R 1,000.00 payabe to the banking account of Little Rascals Pre School as set out in Clause 3 hereunder.2. ENROLMENT OPTIONSPlease indicate the option of your choice at the correct branch by ticking the box next to the option.Little Rascals 6 - Birdswood06h30 - 12h00 R 1,900 p/m12h00 - 17h00 R 500 p/mAftercare: YesAftercare: NoSelect your prefered timesLittle Rascals 7 - Empangeni06h00 - 12h00 R 1,900 p/m12h00 - 18h00 R 500 p/mAftercare: YesAftercare: NoSelect your prefered times3. BANKING DETAILSPlease ensure you select the correct account below:Please use the relevant bank account, upon enrolment, you will be given an account reference number. Please use the account reference number when making EFT payments or Bank Deposits. If you have not yet received the number, please use your childs name and surname as it is on the contract, as the reference.Little Rascals 6 - Birdswood Acc Holder: A.L Franz Bank: Standard Bank Branch Code: 58030 Acc No. 302 890 491Little Rascals 7 - Empangeni Acc Holder: Calefra Group of Companies Bank: FNB Branch Code: 220830 Acc No. 62 421 841 702Email firstname.lastname@example.org or call 035 789 2389 for any account related questions or queries.4. All fees are payable on or before the 1st day of the month, in advance of the month attending, and will be so charged until such time as written notice of cancellation is received by Little Rascals Pre School.5. Monthly school fees are payable even if your child is absent for any reason.6. Payments are to be made using the ACCOUNT REFERENCE NUMBER provided.7. All account queries must be referred to email@example.com, alternatively by calling 035 789 2389 from Monday to Friday between the times of 8am to 4pm.I have read and fully understand the terms and conditions as laid out in this form:YESplease tick to acknowledgeSend ApplicationPlease do not fill in this field.