Online Application - Amberfield College

First Name	Surname
Learner's Preferred Name	Learner's Cell Number
Gender	Ethnic Group
Date of Birth	Learner's identity no / Passeport Number:
Learner's religion	Learner's home language
Learner's nationality	Learner's place of birth
Term of entry	Applying for

Transportation
Means of transport to/from school: Motor Vehicle Bus Taxi Walk
Distance from home to school:	Telephone number of Transporter:

Learner's Medical Information
Medical aid	Medical aid number
Main member name	Is the learner on any Chronic medication? please specify
Does the leaner have any allergies? Please specify	Has the leaner ever had any operations? Please specify

Do you want to apply for AfterCare for this learner

Yes No

Do you have siblings?

Yes No

Would you like to upload a photo?

Yes

No

Photo (Upload image with maximum 200kb)

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	Person Responsbile for Account
Please note that parent will be jointly and severely liable for the account even if the account is paid by a third party / bursary.
	Use Father/Guardian #1 information	Use Mother/Guardian #2 information
First Name	Surname
Title	Initials
Relation to Learner	ID Number / Passeport Number
Email Address
Cell Number	WhatsApp Number
Home Number	Work Number
Home Address	Postal Address
Work Address	Postal Code

Details of any other Contact in case of Emergency (Other than Father / Mother / Guardian)
Emergency Contact 1	Emergency Contact 2
First Name	First Name
Surname	Surname
Email	Email
Cell. Number	Cell. Number
Home Number	Home Number
Work Number	Work Number
Address	Address
Relation to Learner	Relation to Learner

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AGREEMENT BETWEEN ROYAL SCHOOLS AND THE UNDERSIGNED
Declaration and Undertaking: I declare that the particulars furnished on this form are true and correct, and I undertake to comply with the rules, regulations, decisions and policies of the school, and any amendments thereto, which may be applicable to learners and parents in general. I declare that I have perused the applicable school rules and policies and understand the contents thereof and accept it as binding on myself and the learner concerned.
School Fees: I declare that my child is attending a private instituion which relies on the regular monthly payment of school fees as stipulated in this agreement. I understand that non-payment of school fees is a breach of the agreement. I have taken note of the school fees as published and available from the school office. I have read, understood and accept the financial policy of the school. I accept full responsibility for all amounts due to the school and I agree to pay the school fees strictly according to due dates, failing which the account will be handed over to debt collectors and that I will be liable for the collection costs. No learner with an outstanding balance for the previous year will be re-registered unless the outstanding balance is paid in full. Should school fees be in arrears, the school reserves the right to deny learners access to aftercare, transport, trips and excursions and school functions. School fees are payable monthly in advance, on or before the 7th of each month. The school reserves the right to not accept a registration on the basis of affordability, academic and disciplinary record and incomplete application. Payment by debit order is the requisite method of payment. The school has the right to change re-registration fee annually for current learners to reserve space for the following academic year.
Photos: I hereby grant permission for my child to be photographed participating in class projects and events and for the photographs to be included on the school’s website, Facebook and other electronic and social media platforms.
Indemnity: I hereby give permission that he/she may attend any excursion organised by the school with the permission of the principal. I understand that he/she will sometimes have to travel by bus or taxi to different venues of educational value. These trips will have to be paid for when organised. The school will use the best transport available at the lowest cost. I accept that the school will take the necessary precautions to ensure the safety of my child. I will however, not hold the school responsible in case of an accident, loss of limb or life, or any other damages to her/his person or property. I also understand that this arrangement is necessary because it is sometimes difficult to get hold of parents to sign a letter of consent before a trip can take place. In such instances the child is unfairly prevented from attending a trip.
Royal Schools Values I undertake to uphold the values of the school whenever I am involved in school related functions or activities. I will also be available to attend parents meetings and functions to support the education of my child. I will respond timeously to letters, e-mails, SMS and calls made by the school. I undertake to keep all personal contact details updated at all times.

AFTERCARE TERMS AND CONDITIONS
If you have applied for aftercare please read and accept the terms and conditions below

Right Of Admission
1. Application for enrolment to the Aftercare Centre must be completed in full and submitted on the Centre's prescribed form.
2. The centre will not provide service until such time that:
  1. The prescribed application form has been completed.
  2. The feesas prescribed has been paid in advance or, until such time that the contractual financial payments are up to date.
  3. Learners should attend the Aftercare Centre regularly and are required to adhere to the Centre's rules and regulations. Failure to do so may result in disciplinary action and/or expulsion from the centre. No refunds of any nature will be due.
Periods And Time Of The Aftercare:
1. Only during school terms: Monday to Friday
2. Times: 14h15 - 18:00
3. The Centre will not be open during school holidays or public holidays.
4. The Centre operates for 11 months (January -November) and closes on the 30th November 2019.
5. A penalty of R5O will be levied for every 15 minutes that a learner is collected after 18:00.
Fees Payable:
1. All fees prescribed should be paid monthly in advance in accordance with the ruling tariff of fees, together with any other charges that may be levied in terms of conditions of enrolment.
2. No reduction in fees due or paid will be allowed in respect of days on which a child does not attend the Centre for any reason whatsoever.
3. In the event of the Centre presenting fun activities at school,parents will be liable for the additional fees. (eg:Jumping Castle, Water slide etc.). This must be paid before the day of the activity.
Resignations, Terminations And Suspensions:
1. A minimum of one calendar month's written notice of the intention to withdraw a child from the Centre is required.
2. In exceptional cases and at the discretion of the Principal, the Centre reserves the right to dismiss any child without notice. No refund or waiver of monthly fees or due fees will be made.
3. If no payment is recorded by the 7th of the month the Centre will suspend services to the learner immediately
Restrictions
1. The Centre will not accept responsibility for the academic progress of the child(ren) in its care. No guarantee is given that any child will complete ALL homework assigned by the teachers.
2. The Centre will not assist learners with the building of school projects, but will provide access to resource through the school's computer room
General
1. A child may only leave the premises with the legal Parent/Guardian unless the Centre has received written instruction from the Parent/Guardian informing the Centre of the name and identity number of the person who will collect the learner.
2. Where a person other than the Legal Parent/Guardian collects the learner they will be required to submit a certified copy of their ID document and produce their original ID document.
3. In the event of an accident the Centre reserves the right to transport the child to a registered medical facility if the legal Parent I Guardian cannot be contacted. The Parent/s or Legal guardian will be held responsible for the account from the medical facility.
4. Parents/Guardians will not be admitted to the Centre unless accompanied by a member of the Aftercare staff.
5. The Centre will not be held responsible for the loss or damage of articles brought by the child to the Centre.
6. The Aftercare Centre does not provide stationery.
7. All children are to be collected from the designated play area or class at 18:00. The children are to be signed out.

Check the box if you consent to the above

Confirm your Application Before Submitting
Your Ref. No.:
Learners Details
Family Details
Responsible for Account
Aftercare:
Year:

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Application Form

Learner's Educational Details

Transportation

Learner's Medical Information

Has the learner ever had any of the following diseases?

Has the learner ever been treated for any of the following?

Do you want to apply for AfterCare for this learner

Do you have siblings?

How many sibling?

Sibling 1

Sibling 2

Sibling 3

Would you like to upload a photo?

Mother / Guardian

Father / Guardian

Marital Status of Parents

If Divorced/Spearated - children in custody of

Person Responsbile for Account

Please note that parent will be jointly and severely liable for the account even if the account is paid by a third party / bursary.

Details of any other Contact in case of Emergency (Other than Father / Mother / Guardian)

Emergency Contact 1

Emergency Contact 2

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AGREEMENT BETWEEN ROYAL SCHOOLS AND THE UNDERSIGNED