Eduson Learning Centre
EMIS nr: 700400790/IMPAQ nr: S4993
Cell: 084 223 3556 Tel: 012 998 9886
Fax: 086 696 6294 E-mail:
743 Bates Road, Moreleta Park, 0181
www.eduson.co.za
Home Schooling● Literacy ● Mathematics ● Study Methods
EDUSON LEARNING CENTRE:REGISTRATION FORM
Name of Learner:
Date of Birth:
Grade:
Name of Father:
ID Number:
Cellphone Number:
Work TelNo:
E-mail Address:
Name of Mother:
ID Number:
Cellphone Number:
Work TelNo:
E-mail Address:
Postal Address:
Name of Account Payer:
ID Number:
Payment Option: EFT, Cash or Other:
Banking Details: / ______
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Gr 8 -12
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Please note: If you should decide to suspend your child’s Home School classes with the Eduson Learning Centre, we require nothing less than
3 (three) calendar months/ 1 (one) term’s written notice period. If you
cannot keep to this requirement, you will still be held accountable for the
3 (three) calendar months’ class fees calculated on the current school fee at that time.

CONDITIONS:

Eduson undertake to continuously present the lessons to the best of our ability
in order to help your child. You, must however see to it, that:
  • The home program is done on a daily basis. (Although we welcome parental help, support and motivation, we would like to ask you to allow your child to investigate, experiment and even occasionally struggle. This is all part of a valuable learning process).
  • The classes are attended daily and punctually. If your child is sick or cannot attend a day’s classes, you are required to inform the principal within 24 (twenty four) hours or at the latest by 09:00 AM on the specific day.
  • It is furthermore the learner’s responsibility to catch up on missed work in his / her own time.

CLASS FEES:
The annual class fees are R5 000,00 (five thousand rand) per month and the full payment is due before or on the 5th of each month for 12 (twelve) months. (Fees are paid in advance. Annual fees are subject to change).
SCHOOL DAYS AND CLASS HOURS:
Monday to Friday
08:00 AM – 13:00PM (hours subject to change according to need).
Learners must be on the learning centre’s premises no later than 07:40AM.
/ MEDICAL INFORMATION:
Medical Background and Conditions Eduson Staff Should Know of:
Learner’s Script or Chronic Medication:
Learner’s Allergies:
Medical Aid:
Membership Number:
Main Member: / ______
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I hereby give permission for an educator to provide my child with any of (but not limited to) the following over-the-counter medication if the need arises: (Specifically state if/which may NOT be given).
MEDICATION LIST:
PANADO:
NUROFEN:
MYPRODOL/GEN-PAYNE:
ACC 200:
CORENZA:
STREPSIL/THROAT LOZENGES:
PECTROLITE:
BUSCOPAN/HYOSPASMOL:
VALOID:
NORFLEX CO:
CELESTAMINE: / YES / NO IF NO, PLEASE GIVE A REASON
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ACKNOWLEDGMENT AND AGREEMENT
Learner:
I hereby agree and undertake the responsibility to adhere to the learning centre’s rules and regulations. I agree that I will always treat myself, my fellow students, teachers and my parents with respect and that my actions will be a reflection of the values my parents installed in me. My priority will be to always give my best and to be a person my teachers and parents can be proud of.
Signed on the ______day of ______at ______.
Name: ______
Signature: ______
Parent/Guardian:
I, parent / guardian of the above indicated learner, hereby acknowledge and agreethat I understand and agree with all the information indicated in this document. Itake full responsibility for my child’s behaviour and agree to follow all rules andregulations as stipulated above. I undertake the obligation of paying my child’sschool fees of R5000,00 (five thousand rand) per month on time on or before the 5th of each month. Ialso acknowledge that should I decide to suspend my child’s Home School classesthat I will still be liable to give the principle 3 (three) calendar month written notice and thatI will be liable for the 3 (three) months’ class fees as indicated in this document.
Signed on the ______day of ______at ______.
Name: ______
Signature: ______