Enrolment Form – Pressmore Preschool

Enrolment Form rev2 Page 1 of 5 CO. Registration no.2018/051533/08 NPO NO:232-290 PERMIT NO: P/0859/2881 PRESSMORE PRESCHOOL Enrolment Form

DETAIL OF YOUR CHILD TO BE COMPLETED BY PARENT OR GUARDIAN

CHILD'S DETAILS

Your name

Your last name

Your preferred name

Your Gender

Child date of birth

Child ID Number/Passport

Country of birth

race type

Main language spoken at home

second language spoken at home

PRIMARY CAREGIVER DETAILS ( (this caregiver is responsible for payment of school fees)-

First name

Your surname

Relationship to child

Marital status

ID Number

Mobile number

WhatsApp Number

email address

Home address

SECOND CAREGIVER DETAILS

First name

surname

Relationship to child

Marital status

ID Number

Mobile number

whatsApp number

email address

Home address

MEDICAL INFORMATION Upload copy of clinic immunization card Ensure that your child is up to date on all immunizations

Doctor name

Doctor number

please list any known allergies

Has your child had any serious operations or illnesses? Please provide details

Has your child got any physical disabilities or special needs? please provide details

Is there anything else that we should know about your child medically ?

EDUCARE CENTRE AGREEMENT

this agreement is made by and between

Educare Centre and

the Parent/Caregiver of

.( name of child) the following has been agreed upon between the two parties beginning

i/we confirm that all the above information is correct at the time of completing this form

i/we agree that, if any of the information ( cell numbers , contact details, medical information) changes we will inform educare immediately

i agree to the monthly school fee rate of R

I agree that the fee will be paid by the day of each month

Our arrival time at the centre will be AM

Our pick up time will be no later than from Mondays to Thurdays

Our pick up time will be no later than on Fridays

Any added time before or after those times will be charged a late pick up fee/early arrival fee of R per hour

INDEMNITY

I THE PARENT/LEGAL CAREGIVER OF hereby give permission for him/her to participate in all the activities of .Educare Centre including sports, games plus any activities which may arise out of school or in connection with the school day. I accept that all reasonable precaution will be taken to ensure the safety of my child and that i shall be help responsible for the payment of medical and / or hospital cost should my child be injured at school. I therefore agree to indemnity and absolve the Principal, helpers, students and staff of Educare Centre against and from any/or all claims whatsoever that may arise in connection with any loss or damage to the property of my child or injury to my child. I agree to hand over responsibility to the principal of the centre or teacher should medical treatment/ surgery be necessary for my child. As far as i know , he /she is in good health. PROTECTION OF PERSONAL INFORMATION

PROTECTION OF PERSONAL INFORMATION

Your privacy is very important to Educare Centre and to GW Foundation NPC, and all Personal Information collected will be handled in a lawful, justifiable and reasonable manner. We will be as open and transparent as possible with you as to how your Personal Information is handled.
For the purposes of this enrolment form, Personal Information is any form of information that is identifiable with you or ............................................ (Child’s name and surname), which may include but is not limited to name, mailing address, phone number, email address, nationality, and medical history.
GW Foundation NPC’s Data Protection and Privacy Policy can be found at www.growecd.org.za
We generally process your Personal Information for the following purposes: 1. the operation of an early learning centre; 2. to provide and maintain a mobile application suite for communication and resource-sharing; 3. to provide interactive features for your use; 4. to provide support; 5. to gather analysis or valuable information so that we can improve our operations; 6. to monitor the usage of the mobile application suite; 7. to detect, prevent and address technical issues; 8. in any other way described when you provide the information; 9. to respond to an e-mail that you have sent to us by return e-mail or by phone; 10. to contact you from time to time, where you have consented to being contacted for marketing purposes or to be put on our mailing list; 11. for such other purposes to which you may consent from time to time; and 12. for such other uses which we are authorized by law to carry out.
By signing this acknowledgement and consent form: 1. you confirm that you have read and understood the privacy policy and this form. 2. you acknowledge, accept and agree that you have given us your consent to the collection, use, disclosure and related processing of your Personal Information as outlined above. 3. you understand that your consent is voluntary and that you are free to withdraw your consent on written notice to us. 4. you understand that your Personal Information may be disclosed by us to third parties, including service providers, associates and potential acquirers (some of which may be located outside of the Republic of South Africa), for the purposes as specified herein and you give us permission to do so. 5. you understand that we may send your Personal Information outside of South Africa and you consent to us doing so.

Signed at

Signed at (Date)

Parent / Caregiver Name:

Parent / Caregiver Signature:

Parent / Caregiver ID No:

Witness Name:

SASSA card (if applicable)

DOCUMENTS REQUIRED:

Copy of Parent’s/Guardian ID

Birth Certificate of the child

Clinic Card of Child

SASSA card (if applicable)

Account number:62888680355 BRANCH NAME CARLTON CENTRE 049 BRANCH CODE 250205 PRESSMORE NIGHT AND DAY CARE NPO