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Primary School Fees
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Application For
Primary School
Grade Applied For:
Highest Grade Passed:
Year When Grade Was Passed
Accession No:
Surname:
Full name as on birth certificate / ID document:
Preferred Name
ID Number
Date of birth
Age
Gender
Home Spoken Languages:
Other Spoken Languages
Position of child in family
Number of children in family
Nationality
Country of origin
Date of immigration
Race
Asian
African
Coloured
Indian
White
Regligion
Residing With
Parents
Guardian
Deceased Parents
Parents
Guardian
Both
Learner with special needs?
Yes
No
PARENT OR GUARDIAN MUST SPECIFY ANY SPECIAL EDUCATIONAL NEEDS i.e, epilepsy, use of wheelchair etc.
Blood Type
O+
O-
A+
A-
AB+
AB-
B+
B-
UNKNOWN
HAS THE LEARNER RECEIVED ALL THE NECESSARY IMMUNISATIONS? IF NO PLEASE STATE REASON.
Yes
No
REASON
HAS THE LEARNER EVER SUFFERED FROM ANY OF THE FOLLOWING ILLNESSES?
ASTHMA
CHICKEN POX
DIABETES
DIPHTHERIA
ENTERIC
FEVER
GERMAN
MEASLES
HEPATITIS
MALARIA
MEASLES
MUMPS
POLIO
RHEUMATIC FEVER
SCARLET FEVER
TICKBITE FEVER
TYPHOID FEVER
WHOOPING COUGH
ALLERGIES?
SPECIAL PROBLEMS REQUIRING COUNSELLING
DEXTERITY OF LEARNER
RIGHT HANDED
LEFT HANDED
AMBIDEXTROUS
MEDICAL AID NUMBER
Medical AID NAME
MEDICAL AID MAIN MEMBER
Docter's NAME
DOCTOR’S TELEPHONE NUMBER
DOCTOR’S ADDRESS
MEDICAL CONDITIONS KNOWN TO DR.
NAME OF PREVIOUS SCHOOL
PREVIOUS SCHOOL ADDRESS
CONTACT DETAILS
Title
Name
Surname
MARITAL STATUS
Married
Divorced
Widowed
Single
HOME LANGUAGE
English
Xhosa
Zulu
Sotho
Twana
Venda
Afrikaans
Tsonga
Swati
Pedi
Other
Race
Asian
African
Coloured
Indian
White
ID Number
Street Address
CITY / SUBURB
CODE
OCCUPATION
EMPLOYER
ACCOUNT PAYER
YES
NO
SALARY DATE
CELL NUMBER
Title
Name
Surname
MARITAL STATUS
Married
Divorced
Widowed
Single
HOME LANGUAGE
English
Xhosa
Zulu
Sotho
Twana
Venda
Afrikaans
Tsonga
Swati
Pedi
Other
Race
Asian
African
Coloured
Indian
White
STREET ADDRESS
CITY / SUBURB
CODE
OCCUPATION
EMPLOYER
ACCOUNT PAYER
Yes
No
SALARY DATE
CELL NUMBER
SURNAME
FULL NAMES AS IN ID DOCUMENT
DESIGNATION
MR
MRS
MS MISS
DR REV
PROF
OTHER
IDENTITY NUMBER
RELATIONSHIP
MARITAL STATUS
OCCUPATION
EMPLOYER
RESIDENTIAL ADDRESS
WORK ADDRESS
POSTAL ADDRESS
TEL HOME
TEL WORK
CELL
EMAIL ADDRESS
PARENTAL STATUS
LEARNER LIVING WITH PARENTS
LEARNER’S LEGAL GUARDIAN
ACCESS RIGHT TO LEARNER
ACCESS RIGHTS IN EMERGENCY
DETAILS OF CHILDREN IN YOUR CARE WHO ARE CURRENLTY AT THIS SCHOOL
1. NAME
GR
2. NAME
GR
3. NAME
GR
4. NAME
GR
PAYMENT OPTION
PLEASE NOTE: PAYMENTS ARE DUE 5th OF EVERY MONTH.
iNTEREST ON UNPAID FEES BEGIN ON THE 6th OF THE MONTH
MONTHLY STOP ORDER
ANNUALLY IN ADVANCE BY ELECTRONIC FUNDS TRANSFER OR CASH DEPOSIT AT THE BANK
We, the undersigned hereby certify that the information given by the Account Holder in this Application for Admission is complete and accurate. We accept joint and several liability to Castle Bridge School for the due and punctual payment of the once-off, non-refundable enrolment fee, school fees and any other amounts which may become due and payable to the School or in respect of participation in or attendance of any extracurricular activity. We accept the Financial Terms and Conditions of which a copy has been kept. We accept joint and several liability to Castle Bridge School for the due and punctual payment of the once-off, non-refundable enrolment fee, school fees and any other amounts which may become due and payable to the School or in respect of participation in or attendance of any extracurricular activity. We accept the Financial Terms and Conditions of which a copy has been kept.
NAme OF ACCOUNT HOLDER
Date
SIGNATURE OF 2nd PARENT/ A PARENT/ LEGAL GUARDIAN
Date
SIGNATURE OF AN AUTHORISED SCHOOL REPRESENTATIVE
Date
1. ACCEPTANCE OF LIABILITY 1.1. The person responsible for the Account (hereafter the Account Holder) as set out in the standard Application for Admission (hereafter the Application) here with assumes liability for the account, alternatively binds him/herself as co-debtor and surety for payment of all fees to school. 1.2. The legal guardian, as described in the Application, binds him/herself as surety and co-debtor for the payment of all fees by the Account Holder or any other payments that may arise from this Agreement. 2. TERMS OF PAYMENT 2.1. Fees are determined at the beginning of the year and Parents are informed in writing of all amounts due and monthly payments are made in accordance with the applicable fee structure of the School. 2.2. The Account Holder shall immediately inform the School if he/she has not recieved an invoice at the start of the academic year. 2.3. Fees are payable monthly in advance by means of EFT or bank deposit on or before the 7th day of each month. Application and registration fees are non-re- fundable. 2.4. The School reserves the right to charge interest of 20% on all accounts that are in arrears by 30 days or longer. 2.5. The School reserves the right to not re-admit any learner whose account was not properly managed. 2.6. In case of medical emergency, parents give consent to the school to take the child to the nearest hospital or doctor. 2.7. (a) Fees for Grade 7 to 11 will be paid in a 11 month period. Fees for the 12 month will be divided through the 11 months. (b) Fees for Grade 12 are payable over 10 months 3. BREACH OF CONTRACT In the event where the undersigned surety, Account Holder or Legal Guardian commits a breach of contract in respect of any of the terms of this Agreement, the School may in it’s sole discretion: 3.1. Refuse the learner entry to the school’s premises until the account has been settled; or 3.2. Claim damages from the Account Holder and/ or the surety and legal guardian; or 3.3. Take whatever legal steps that may be necessary. 4. GENERAL This Agreement constitutes the whole Agreement between the parties relating to the subject matter hereof. No amendment or consensual cancellation of this Agreement or any provision or term thereof or of any Agreement, bill of exchange or other document issued or executed pursuant to or in terms of the Agreement and no settlement of any disputes arising under this Agreement and no extension of time, waiver or relaxation or suspension of any of the provisions or terms of this Agreement or of any Agreement, bill or exchange or other document issued pursuant to or in terms of this Agreement shall be binding unless recorded in a written document signed by the parties. Any such extension, waiver or relaxation or suspension which is so given or made shall be strictly construed as relating strictly to the matter in respect whereof it was made or given. Should your child be accepted to the School a further agreement will need to be signed that more fully set out the school rules, terms and conditions, code of conduct, financial terms, conditions of admission and school policies among others. 5. JURISDICTION This Agreement is subject to South African Law 6. CREDIT INFORMATION The Account Holder, surety or legal guardian hereby consents to the disclosure and exchange of personal financial information to a credit bureau or financial insti- tution in accordance with the National Credit Act. 7. DOMICILIUM The parties choose as their domicilia citandi at executandi the addresses set out in the Application. 8. LEGAL FEES In the event where the school takes legal action against the Account Holder, he/ she will be liable for all fees on an attorney client scale, collection costs and com- mission, interest and tracking fees. 9. CANCELLATION 9.1. The Account Holder undertakes to give 30 calender days written notice of termination of the enrolment of a learner, failing which the liability will incurred for the full amount of the following term’s fees. 9.2. The School shall be entitled to terminate the enrolment of any learner under the following circumstances: Summarily, and with immediate effect, if the learner is guilty of an offence which, in the sole opinion of the School, renders his/ her continued enrolment at the School impossible, in which event the Account Holder, after deduction of all amounts otherwise owing to the school, will be refunded a pro-data proportion of any fees already paid in advance in respect of such learner. 2024 9.3. In the event of emigration, the School requires 1 full term’s written notice in advance.
Full name OF ACCOUNT HOLDER
Date
1. The School and the CBS Board of Directors undertake to implement reasonable and generally acceptable measures with regard to the safety and well-being of all learners, educators and visitors to the School. 2. Due to the nature of the matter, the School and CBS Board of Directors do not accept any responsibility for accidents that may take place in the class, on the class terrain or on the sports fields. 3. Each parent is therefore requested to complete this form as proof that you accept the position of the School and the CBS Board of Directors as set out above as wel as the risks involved therewith. 4. As the parent/legal guardian of the child enrolled and accepted by the School,subject to the terms set out herein, indemnify the school and the CBS Board of Directors for any losses or damages in general, however may occur, that I as parent/ legal guardian of the above learner may suffer as a result of any occurance whereby the learner may be involved, whether as the caus ing or suffering party, whilst participating in any school activity, except if such loss or damage arises as a consequence of the gross negligence or willful misconduct of the School or the CBS Board of Directors or any person acting for or controlled by the School or the CBS Board of Directors. 5. In particular, I authorise that the aforesaid learner may be involved in all excursions undertaken by his/ her group or class during school days as as part of his/ her learning experience and, where applicable, I agree that he/ she may utilise the transport arranged by the School for such excursions. I also indemnify the School and the CBS Board of Directors for any damages or losses that I as parent/ legal guardian of the above learner may suffer under such circumstances and volun tarily accepts the risks associated therewith, except if such loss or damage arises as a consequence of the gross negligence or willful misconduct of the School or the CBS Board of Directors or any person acting for or controlled by the School or the CBS Board of Directors.
PERMISSION TO USE PHOTOGRAPHS
1. The School and the CBS Board of Directors undertake to implement reasonable and generally acceptable measures with regard to the safety and well-being of all learners, educators and visitors to the School. 2. Due to the nature of the matter, the School and CBS Board of Directors do not accept any responsibility for accidents that may take place in the class, on the class terrain or on the sports fields. 3. Each parent is therefore requested to complete this form as proof that you accept the position of the School and the CBS Board of Directors as set out above as wel as the risks involved therewith. 4. As the parent/legal guardian of the child enrolled and accepted by the School,subject to the terms set out herein, indemnify the school and the CBS Board of Directors for any losses or damages in general, however may occur, that I as parent/ legal guardian of the above learner may suffer as a result of any occurance whereby the learner may be involved, whether as the caus ing or suffering party, whilst participating in any school activity, except if such loss or damage arises as a consequence of the gross negligence or willful misconduct of the School or the CBS Board of Directors or any person acting for or controlled by the School or the CBS Board of Directors. 5. In particular, I authorise that the aforesaid learner may be involved in all excursions undertaken by his/ her group or class during school days as as part of his/ her learning experience and, where applicable, I agree that he/ she may utilise the transport arranged by the School for such excursions. I also indemnify the School and the CBS Board of Directors for any damages or losses that I as parent/ legal guardian of the above learner may suffer under such circumstances and volun tarily accepts the risks associated therewith, except if such loss or damage arises as a consequence of the gross negligence or willful misconduct of the School or the CBS Board of Directors or any person acting for or controlled by the School or the CBS Board of Directors.
Full Name of parent / garduan
Full Name of parent / garduan
Date
Where did you here about us?
Billboard
Presentation
Friend
Newspaper
Brochure
Web
Magazine
Flyer
How satisfied were you with the service received pre-enrolment?
Very satisfied
Satisfied
Unsatisfied
Very unsatisfied
Was the information received pre-enrolment:
Relevant
Informative
Sufficient
As part of the application for learner admission process, the School is required to obtain credit reports or other related information on the Account Holder as may be deemed necessary. The purpose of the credit report is to assess the Account Holder’s financial means and ability to satisfy the financial obligations as set out in the Learner Admission Contract. You are thus required to complete the section below and return to the School’s financial department with your completed application form. I/We the undersigned hereby authorise Castle Bridge School and/ or any of it’s associates to conduct credit inquiries and/ or obtain credit reports in respect of my/ our credit profile as may be necessary with the credit bureau of it’s choice.
Full Name/s
ID No/s:
Signature/s:
Date:
Send My Message
Castle Bridge Shool
Application Form
Learner's Personal Details
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[field id="field_highest_grade_passed"]
[field id="grade_applied_for"]
