Zorgfontein Educational Center Enrollment Application Form "Whatever you do, do it all for the glory of God" Molenrivier 3 CAD 28, Sorgfontein, 6525 Tel: 071 704 6654 | zorgfonteineducationalcenter@outlook.com 1Children Information + Add Another Child 2Parent/Guardian Details Mother's Information Surname * Please enter mother's surname First Names * Please enter mother's first names ID Number * Please enter valid 13-digit ID number Marital Status Select Status Single Married Divorced Widowed Cell Number * Please enter mother's cell number Email Address * Please enter a valid email address Occupation Employer Work Number Home Language Mother's ID Document * Please upload mother's ID document Father's Information Surname First Names ID Number Please enter valid 13-digit ID number Marital Status Select Status Single Married Divorced Widowed Cell Number Email Address Please enter a valid email address Occupation Employer Work Number Home Language Father's ID Document Please upload father's ID document Home Address * Please enter home address Home Telephone Number 3Medical Information General Practitioner GP Telephone Number Medical Aid Medical Aid Number Person Responsible for Medical Bills 4Emergency Contacts Alternative persons to contact during an emergency when parents are not available Emergency Contact 1 - Name * Please enter emergency contact name Relationship * Please enter relationship Cell Number * Please enter cell number Work/Home Number Emergency Contact 2 - Name Relationship Cell Number Work/Home Number 5Authorized Persons to Collect Children List all persons authorized to collect your child(ren) from school + Add Authorized Person 6Fee Structure Registration & Monthly Fees Once-off Registration Fee (Non-refundable) R 350.00 Zorgfontein Play School (0-5 years) Monthly Fee (12 payments per year) R 2,300.00 Second Child - Full Day (Preschool only) R 1,150.00 Half Day Fee R 1,980.00 Zorgfontein Academy (Gr R - Gr 7) Half Day Fee (12 payments per year) R 2,150.00 Monthly Fee (12 payments per year) R 2,550.00 Hours: Full Day: 08:00 - 17:00 Half Day: 08:00 - 14:00 Important: School fees are payable 12 months of the year, including December, whether absent, sick or on holiday. 7Agreements & Policies I authorize Zorgfontein Educational Center staff to seek emergency medical treatment for my child(ren) if I cannot be reached * I exempt the principal and staff from any damage, loss, claims, or injuries that may occur during attendance or transport * I grant permission for photographs of my child(ren) to be used for school publications and promotional materials I understand that fees are payable 12 months per year and that one month's written notice is required for discontinuation * I have read and agree to abide by all school rules and policies * I understand the school's medical policy and will not send my child to school if they show symptoms of illness * I acknowledge the school's HIV/AIDS non-discrimination policy * I agree to all terms and conditions of enrollment at Zorgfontein Educational Center * 8Banking Details for Payment Bank Account Details: Account Name: Zorgfontein Educational Center Inc Bank: ABSA Branch: George Account Number: 4107741032 Please use your child's name and surname as reference when making payments 9Supporting Documents (Optional) Additional Supporting Documents You may upload multiple files. Accepted formats: PDF, JPG, PNG Required Documents Checklist: ✓ Birth Certificate for each child ✓ Mother's ID Document ✓ Father's ID Document (if applicable) Optional Documents: • Immunization/Vaccination Card • Previous School Reports or Transfer Letters • Medical Reports (if applicable) • Court Orders (custody arrangements if applicable) • Any other relevant supporting documents Submit Enrollment Application
