PRINCIPIA PRIMARY SCHOOL

225 Draai Str, Oudtshoorn, 6620

044 272 7077(t) / 086 272 7077 (f)

APPLICATION FORM

All information on this form is strictly confidential.

Pupil’s Personal Details

Surname………………………………………………… First Names ………………….………………..……...…

Identity Number……………………………………….. Date of Birth (Day)………. (Month)……..(Year)…....…

Home Language………………………………………. Language of Instruction …………………...……..….…

Place in Family ……………………………………….. Number of Siblings ………………...……………………

Home Address …………………………………………………………...…………………………………...………

Scholastic Details

Current School ……………….……………………………………...... ……………………………………………..

Contact person at previous school ………………………………………………………………………………….

Contact number ………………………………………………….

Name of sibling ……………………………...... ……………… Age …………………………….….

Name of sibling ……………………………...... ………………………… Age …………………………….….

Name of sibling ………………………………...... ………………………… Age …………………………….….

Name of any family member who is a past or current pupil at Principia

……………………………...... …………Date…………………………….….

……………………………………...... …Date…………………………….….

List any special interests or talents – academic / music / sport

……………………………………………………………….….………………………………………………………

Details of learning difficulties, if any…………………………………………………………………………..…….

…………………………………………………………………………………………………………………………..

Copies of the following must be attached:

·  Birth certificate and/or identity document and last school report.

·  Parent’s ID document

Parent’s Details

FATHER / MOTHER
First Names
Surname
Home Language
Postal address
e-mail address
Telephone (Home)
(Work)
(Cell)
(Fax)
Marital Status
Nationality
I.D. Number
Profession
Company / Employer

Intended Date of Admission………………………………….. Signed ……………………………………………………

Intended Grade of Admission ……………………………….. Date ……………………………………………

  1. PRINCIPIA PRIMARY is registered with the Western Cape Education Department, and offers tuition in both the English and Afrikaans medium, and is non-denominational.

2.  We hereby consent to the person in charge acting “in loco parentis” whilst pupil attends the School or participates in any extra-mural activities of the School, including, but not limited to games, sporting activities, educational tours and excursions.

3.  We hereby indemnify, hold harmless and absolve Principia Primary, Trustees, the Head, educators, staff against all or any loss, damages (direct or indirect, consequential or otherwise) or injury, expenses (including medical expenses), costs (including legal costs) suffered and/or incurred by the pupil in or on the premises of the School or in the course of any co-curricular and extra-mural activities of the School including, but not limited to games, sporting activities, educational tours and excursions or in consequence of any other act or omission of whatsoever nature and howsoever arising.

4.  We hereby give consent for the pupil to participate in all extra-mural activities organized by Principia Primary unless the School is otherwise notified, in writing, to the contrary.

5.  We hereby undertake to abide by and comply with all the policies, rules and regulations of Principia Primary, and we hereby acknowledge that it is incumbent upon us to make ourselves familiar with all the policies and rules pertaining to Principia Primary. We will ensure that the pupil abides by all policies applicable to him/her.

6.  We acknowledge that we are responsible for our child whether on the property of Principia Primary or not after the published finishing times of any school activity/event/function.

7.  We hereby assume absolute responsibility for the payment of all fees as a result of the pupil(s), attending Principia Primary. We acknowledge that school fees are payable in advance and that facilities exist for monthly payments.

8.  We acknowledge that should any one instalment payable in terms hereof not be paid on due date, then the whole balance outstanding shall immediately become due and payable by us and that no indulgence or grant of time by Principia Primary shall be deemed a waiver of its rights hereunder.

  1. We acknowledge that 1 months notice in writing or the equivalent fee is required before the withdrawal of any pupil from Principia Primary. If such notice is not given, a full 3 months fees shall be paid in lieu thereof.
  1. We hereby agree in terms of section 45 of the Magistrates' Courts Act No 32 of 1944 that Principia Primary shall, at its option, be entitled to institute any legal proceedings for the recovery of any monies owing by us to Principia Primary in any Magistrate's Court having jurisdiction in respect of such proceedings in terms of Section 28 of that Act. We understand that we will be liable for all legal costs (including legal costs on the scale as between attorney and own client) incurred for the recovery of such amounts.
  1. We choose the residential address listed on p.2 as my/our domicilium citandi et executandi for the service on us by Principia Primary of all notices, processes and other communications

12.  Principia Primary does not take any responsibility for any theft or loss of, or damage or destruction to any property of whatever nature (including school clothing, sporting equipment, books, or any other personal possessions) brought onto the Principia Primary premises by our child.

13.  Principia Primary reserves its right to give a shorter period of notice of termination of the enrolment contract should the Head determine a shorter notice period as being appropriate.

14.  We confirm that all the particulars that we may furnish or that have been furnished on this form shall, to the best of our knowledge and belief, be full, true and accurate.

15.  By our signatures hereto we agree to these terms and conditions and further acknowledge that we understand the Fee structure as per the schedule. We further understand that Principia Primary reserves the right to amend the Terms and Conditions of Enrolment, if and when required, or from time to time.

Declaration

·  I/we declare that I/we have read, understand and accept the Terms and Conditions of Enrolment

Signed at ………………………………………..……. on this …………day of ……………………… 20………

FATHER ……………………………………… MOTHER ………………………………………

As Witnesses:

1………………………………………………

2. ………………….……………………………………

Guardian / Custodian (other than parent)

…………….………………………………………………………………………………………………………..

  • An Entrance fee of R500 is required once a letter of acceptance has been issued by the school.

·  This Application for Enrolment will not be accepted unless all information required is provided, is true, and it is signed.

·  We reserve the right to amend or alter the terms and condition of the enrolment application

INCREASE IN FEES:

WE AVOID INCREASING TUITION FEES DURING THE ACADEMIC YEAR, HOWEVER, WE RESERVE THE RIGHT TO DO SO IF CIRCUMSTANCES REQUIRE IT.

FEE INCREASES CAN REASONABLY BE EXPECTED TO PROVIDE FOR INFLATION AND OTHER COSTS.

FOR OFFICE USE ONLY

DATE RECEIVED / ……………………………………….
ADMIN OFFICER
DATE APPROVED / ……………………………………….
HEADMASTER
ADMISSION NO: / APPLICATION FEE: RECEIPT NO……………….
ENTRANCE FEE: RECEIPT NO:………………