FOOTPRINTS AFTER SCHOOL
 CARE CENTRE

FOOTPRINTS MILKWOOD PRIMARY
 AFTER SCHOOL CARE CENTRE

REGISTRATION FORM

F O O T P R I N T S

MILKWOOD PRIMARY STUDY CENTRE AND AFTER CARE

The following application and registration form must be returned to Footprints via hand/fax: 086 225 1843/ e-mail: [email protected]  


I, (name and surname of parent/guardian) _______________________________________________


Parent/guardian of (child’s name) ______________________________in Gr___ in 2018


date of birth_____________________


hereby register my child at Footprints for 2018.


Physical Address : ____________________________________________________      

                         

Employer : __________________________


Phone at home: (H)____________________ Work no:_________________ in case of emergency


Cell__________________(mom) __________________(Dad) 


___________________________( an active e-mail address )


Doctor number: __________________ ________________ __________________

Name of doctor                                       Practice number      Dr Cell no.

Choice of payment arrangements : Indicate your option with a X

Lunch Excluded                                           Lunch Included

R6 300 (per year)                                          R8 400 (per year)

R   630 (per month)                                       R   840  (per month)     

NB: A Booking and registration fee equal to one month’s payment is due by 

25 October 2017 and will serve as payment for January 2018. Please make use of Internet banking, debit orders, or direct deposits, to limit our handling of cash.

Banking Details:

Footprints account for Grade RR – 3

             Acc. Name:    M.M. Robertson

                        Bank:            ABSA   Bank             

Acc. Type:     Savings

              Acc. no.   9215254837

Branch code:  632005

Ref:  your child's name

(Put your child’s name on deposit slip. Take a picture with your phone send to 082 929 0385 please!)  This is most importent  otherwise it won't reflect on your account

I understand that

1. I have to pay the amount of ______________ per month, in advance before the 7th of each month, for the first 10 calendar months of 2018. (01/01/2018 to 01/10/2018)

2. I have to give one calendar month’s notice (written /telephonic) to the educators of the after care , should I no longer wish to make use of the after care facilities,

3. I understand that my child/ children will not be allowed to attend Footprints from the day after due date, if my fees are still outstanding.

4. No discount will be granted in the case off illness, personal (parent or learner) OR school holidays.

5. I will be held responsible for any outstanding fees paid late. This can lead to cancellation of contract.

6. I have to notify the appropriate After care educators in advance, eg. by sms in case of day –to-day absenteeism.

7. I have to send 1 box of tissues, 1 bar of soap and one toilet roll to Footprints before the end of January.

8. Each clothing, stationery item, bag or lunch box of my child/ children must have my child’s name in permanent marking.

I declare that I have read and understand the above-mentioned agreement and undertake to abide by the rules.

___________________________________           _______________________

SIGNATURE OF PARENT/ GUARDIAN                 DATE