JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Parent registration 2023
After completing this form, a Learning in Reach representative will contact you to discuss upcoming opportunities.
PLEASE NOTE: Learning in Reach ONLY works with families and ECD centres in the greater LAVENDER HILL area, WESTERN CAPE.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First Name
*
Your answer
Surname
*
Your answer
ID number
*
Your answer
Email address
Your answer
Cell number
*
Your answer
Address
*
Your answer
School where my child attends
*
Hillwood Primary
Levana Primary
Prince George Primary
Zerilda Park Primary
A whole new world
Brightly Beams
Burning Bush
Care and Share
Caring for your child
Charlene's Angels
Hillview Educare
Kaalvoet Educare
Lavender Green Pastures
Learning Tree
Little Castle
Little Champs
Little Giants
Little Villagers
Little Warriors
Minnie's Toddlers
New World Foundation
Peek a Boo
Poenkanoentjies
Precious Steps
Preparing for School
Seawind Educare
Sharon's Daycare
Small Beginners
Teddy Bear
Twinkle Star
Tehilah
Children's House of Lavender Hill
Other
Number of children
1
2
3
4
5+
Clear selection
The following aged children are in my care
*
<12 months old
1 years old
2 years old
3 years old
4 years old
5 years old
6 years old
7 years old
8 years old
9 years old
10 years old
11 years old
12 years old
Required
Gender
Choose
Male
Female
Home Language
Afrikaans
English
IsiXhosa
Other:
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
