DT Hubs Application form

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Micro Learning Hubs

Email *

Name and Surname of Parent / Guardian: *

Contact number of parent / guardian: *

Name and surname of student enrolling: *

Which Hub / area would you like to enroll your child for? *

Carlswald, Midrand

Bluehills, Midrand

Knoppieslaagte, Centurion

Westdene, Johannesburg

Stage? *

7 (Checkpoint 1)

8 (Checkpoint 2)

9 (Checkpoint 3)

IGCSE

AS / A

Which date would you like the enrolment to commence? *

YYYY

Agreement:

By sumbitting this form, you as parent / guardian of the student mentioned, give DanieTeach and DT Online permission to send you the relevant documents to complete enrolment. Payment details and options relating to payment and commitments will be emailed. Terms, conditions and indemnity forms will be attached. Please do not hesitate to contact us for any further enquiries. +27 76 090 1016 / info@danieteach.com

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