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Enrolment Form
Kyalami Estates Pre-Primary Enrolment Form 2011
Enrolment Date
Group
Choose Option
Orange - 1+
Yellow - Turning 3
Purple – Turning 4
Blue – Turning 4
Red – Turning 5
Green – Turning 5
Collection times
Choose Option
1230-school only
1330-lunch included
1500-lunch & sleep
1700-lunch,sleep,play
Child's Details
Surname
First Names
Gender
Choose Option
Male
Female
Birthday
Home Language
Telephone Number
Home Address
Religion
Nationality
Previous School
Fathers Details
Surname
First Names
Birthday
ID Number
Home Telephone Number
Cell Number
Work Number
Email Address
Postal Address
Mothers Details
Surname
First Name
Birthday
ID Number
Home Telephone Number
Cell Number
Work Number
Email Address
Postal Address
Medical Information
Doctor
Telephone Number
Emergency Contact Persons / Numbers
Name
Relationship
Cell Number
Work Number
Physical Address
Name
Relationship
Cell Number
Work Number
Postal Address
Please enclose a copy of your child’s birth certificate, immunization card and a copy of both Parents I.D. documents.
We agree that our child’s admission is subject to the conditions of admission as determined by the Principal.
Please select
I agree
Date
Security Code
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