Courtenay's Aftercare Enrolment Form 2022
FEES – Terms & Conditions (to be strictly adhered to)
 
1. Fees are compulsory and each parent is responsible for the payment of their child's/children’s fees.
2. If NO fees are paid by the end of the month, your child will have one extra day then he/sent to the office.
2. Payments are acceptable in cash in a clearly marked envelope or EFT.
3. If payment via EFT the child's name and surname to be used as the reference.
4. Aftercare is closed on all public holidays.
5. Statements will be sent out on the 25th of every month. Payments are due in full by the last day of every month.
6. Failure to make payment timeously will result in interest will be charged.

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Child 1:
Name & Surname of Child *
Date of Birth *
MM
/
DD
/
YYYY
Grade *
Teacher's Name *
Gender *
Child 2:
Name & Surname of Child
Date of Birth
MM
/
DD
/
YYYY
Grade
Teacher's Name
Gender
Clear selection
PARENT CONTACT NUMBERS:
Mother's Details:
Name & Surname *
Home Tel Number *
Cellphone Number *
Work Tel Number *
Email Address *
ID Number *
Home Address *
Father's Details
Name & Surname *
Home Tel Number *
Cellphone Number *
Work Tel Number *
Email Address *
ID Number *
Home Address *
Who will normally bring and collect your child from school? List if more than one person. *
Children will not be allowed to leave aftercare with people not named by you. Please indicate below, people other than the child’s/children’s parents who may collect them from aftercare. PLEASE NOTE: The person collecting your child/children MUST sign him/her out before they can leave aftercare.
MEDICAL DETAILS / REQUIREMENTS:
Contact name and number in case of emergency:
Does your child have any chronic illnesses? *
If so, what?
Is your child on regular medication? *
If so, please specify?
Does your child have any dietary allergies? *
If so, please specify?
Name of family doctor *
Name of Medical Aid *
Medical Aid Number *
I hereby give permission that the following medication may be given to my child in case of an emergency: *
(Please tick the box)
Required
Any other instructions
By submitting this form you confirm that you understand the above terms and conditions regarding Aftercare fees.
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