Register – Gratitude Kidz

2019 PARTICULARS OF CHILD(REN)

Particulars of Child(ren)*
Full names and surname Date of Birth Nick Name
Allergies / Sicknesses - Is the child allergic to anything/suffering illness/have any impairments):*
Please tell us more about your childs allergies/illness/impairment:
Type Allergy/Illness/Impairment Medication
Home language:
Preferred start date:
Date Format: MM slash DD slash YYYY
Was your child at daycare before?*
Name of previous daycare:
Guardianship:*
Medial aid
Medical aid: Medical aid plan: Membership number:
Parents Guardian Particulars
Relationship with the child(ren)*
Email address*
Name
First Last
ID Number
Employer
Occupation
Tel(W):
Tel(H):
Cell:
Home address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Relationship with the child(ren)*
Name
First Last
ID Number
Employer
Occupation
Tel(W):
Tel(H):
Cell:
Home address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Marital status:
Person responsible for account
Name
First Last
ID Number*
Other adults authorized to collect the child from the school:
Emergency contacts (Not parents):*
Name Relation Contact number
School Fees

Registration Fee(Once off)	R600	Stationery and toiletry	R400	Payable beginning of each term
Full Day	Annually	Arrangements and discounts
Day: 06:30 - 17:00	R 18 000	Monthly Payments	R 1500	Discount: R0	R 1500
		Quarterly Payments	R 4500	Discount R 200	R 4300
		Annual	R 18 000	Discount R 800	R 17 200
Day Scholar / Visitor		Arrangements and discounts
Care: 06:30 - 17:00	R 100	All fees are payable in advance on or before the 5th of each month
		3% monthly interest will be payable on all account in arrears for thirty (30) or more days
		a spot fine of R70 will be immediately payable if child(ren) are collected later then 17:45

General Provisions
Absence	In case your child(ren) become absent due to illness or leave please inform the principle
Daycare termination	Please allow the school one calendar month notice; failure to do so will result in a penalty of one month's school fees payable by the parent	_______________
		Parents initials
Medical assistance	I hereby grant permission that my child(ren) may receive elementary medical assistance as prescribed by a doctor at my cost. No medication will be left in a bag or given to a teacher without registering it in the register.	_______________
		Parents initials
Exemption injuries	I hereby exempt the school and management of any responsibility in case of injury, minor or probably fatality caused during transportation to or from any destination from school or extramural activities	_______________
		Parents initials
Fees payment	Gratitude Kids Pre-School works on a 12-month payment basis, payable. No reduction of fees will be given for illness, holidays, or any reason of absenteeism. All accounts must be cleared by 30 November each year.	_______________
		Parents initials

Full names and surname	Date of Birth	Nick Name

Type	Allergy/Illness/Impairment	Medication

Name	Relation	Contact number

Parents Guardian Particulars