PRE-SCHOOL ONLINE ADMISSION FORM Please be assured that we treat your personal information with the utmost confidentiality. Please enable JavaScript in your browser to complete this form. - Step 1 of 5LEARNER INFORMATIONName *FirstLastPreferred Name *Date of Birth *DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Identity Number *If you are an immigrant, you will only need a passport number, so you can just put in "See Passport Number below" in the above Identity Number field.Nationality *Please select...RSAOtherReligious Denomination *Please select...ChristianBuddhistHinduJewishAncestral WorshippingMuslimMormonGender *Please select...MaleFemaleEthnic Group *Home Language *Please select...AfrikaansEnglishIsiZuluIsiXhosaIsiNdebeleSetswanaSepediSesethoSiswatiTshiVendaXitsongaLearner’s Language Preference *Please select...AfrikaansEnglishIsiZuluIsiXhosaIsiNdebeleSetswanaSepediSesethoSiswatiTshiVendaXitsongaAdmission Date *Colour Photograph of Learner * Click or drag a file to this area to upload. You can either upload this document here, or email to us at info@frontlinecs.co.zaLEARNER HEALTH INFORMATIONChronic Diseases *Allergies *Medication *HISTORY WITH SCHOOLAre there siblings enrolled at FCS? *Please select...YesNoFamily Code *Did you or any other family member attend FCS? *Please select...YesNoYear *MEDICAL AID INFORMATIONMedical Aid Name *Member Number *Dependant code of learner: *FAMILY DOCTOR INFORMATIONName *FirstLastTelephone Number *RELATIONSHIP WITH FCS Are you a staff member? *Please select...YesNoAre you related to a staff member? *Please select...YesNoIf yes, who? *Relation? *Do you attend Frontline Church? *Please select...YesNoAre you a serving partner? *Please select...YesNoNEXT OF KIN INFORMATIONName *FirstLastContact Number *Alternative Contact Number *Relation *HOW DID YOU HEAR ABOUT US?How did you hear about FCS? *NextBIOLOGICAL PARENT / LEGAL GUARDIAN 1 INFORMATIONYou are: *Please select...FatherMotherGuardianFull Names *Surname *Initials *Preferred Name *ID Number *Home Language *Please select...AfrikaansEnglishIsiZuluIsiXhosaIsiNdebeleSetswanaSepediSesethoSiswatiTshiVendaXitsongaCommunication Preference *Please select...d6 appE-mailSMSWhatsAppContact Number - Cell *Contact Number - Home *Email *EmailConfirm EmailResidential Address *Address Line 1Address Line 2CityState / Province / RegionPostal Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeMarital Status *Please select...SingleMarriedDivorcedRe-marriedGuardianshipOccupation Status *Please select...Self-employedEmployedUnemployedOccupation *Name of Employer *Contact Number - Work *Employer Physical Address *Address Line 1Address Line 2CityState / Province / RegionIs the learner living with this parent? *Please select...YesNoPreviousNextBIOLOGICAL PARENT / LEGAL GUARDIAN 2 INFORMATIONYou are: *Please select...FatherMotherGuardianFull Names *Surname *Initials *Preferred Name *ID Number *Home Language *Please select...AfrikaansEnglishIsiZuluIsiXhosaIsiNdebeleSetswanaSepediSesethoSiswatiTshiVendaXitsongaCommunication Preference *Please select...d6 appE-mailSMSWhatsAppContact Number - Cell *Contact Number - Home *Email *EmailConfirm EmailResidential Address *Address Line 1Address Line 2CityState / Province / RegionPostal Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeMarital Status *Please select...SingleMarriedDivorcedRe-marriedGuardianshipOccupation Status *Please select...Self-employedEmployedUnemployedOccupation *Name of Employer *Contact Number - Work *Employer Physical Address *Address Line 1Address Line 2CityState / Province / RegionIs the learner living with this parent? *Please select...YesNoPreviousNextPERSONS RESPONSIBLE FOR ACCOUNTYou are: *Please select...Biological ParentsLegal GuardiansCompany / TrustPlease complete the section below only if you are a Company or Trust * Click or drag a file to this area to upload. Please note that the confirmation letter from the Company or Trust must be attached. Upload this document here in either PDF, JPG or PNG format, no larger than 5Mb.Registration Number *Contact Number *Email *EmailConfirm EmailBusiness Address *Address Line 1Address Line 2CityState / Province / RegionPostal Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeREQUIRED DOCUMENTATIONOne or Two Parents making the application? *One or Two Parents making the application?OneTwoIdentity Document - Parent 1 * Click or drag a file to this area to upload. Please upload either PDF, JPG or PNG files no larger than 5Mb.Identity Document - Parent 2 * Click or drag a file to this area to upload. Please upload either PDF, JPG or PNG files no larger than 5Mb.Proof of Residence * Click or drag a file to this area to upload. Please upload either PDF, JPG or PNG files no larger than 5Mb.Clinic Card * Click or drag a file to this area to upload. Please upload either PDF, JPG or PNG files no larger than 5Mb.Confidential Report * Click or drag a file to this area to upload. Please upload either PDF, JPG or PNG files no larger than 5Mb.Valid Passport (no less than 1 year remaining before expiry) * Click or drag a file to this area to upload. Please upload either PDF, JPG or PNG files no larger than 5Mb.Are you Employed or Self Employed? *Are you Employed or Self Employed?EmployedSelf Employed3 month’s payslips - both parents/guardians * Click or drag a file to this area to upload. Please upload either PDF, JPG or PNG files no larger than 5Mb.3 month’s bank statements - both parents/guardians * Click or drag a file to this area to upload. Please upload either PDF, JPG or PNG files no larger than 5Mb.3 month’s personal bank statements - both parents/guardians * Click or drag a file to this area to upload. Please upload either PDF, JPG or PNG files no larger than 5Mb.3 month’s business bank statements - both parents/guardians * Click or drag a file to this area to upload. Please upload either PDF, JPG or PNG files no larger than 5Mb.CIPC document * Click or drag a file to this area to upload. Please upload either PDF, JPG or PNG files no larger than 5Mb.PreviousNextAgreement: *I/We have read and agree to the terms of the agreement listed below.The consumer/debtor consents to and authorises Harvest Christian School, the supplier, Service and/or credit provider, as the case may be, to:- a) contact, request and obtain information at any time from any supplier, service or credit provider (or potential credit provider) or registered credit bureau in order to assess the behaviour, profile, payment patterns, indebtedness, whereabouts, and creditworthiness of the consumer / debtor; and b) provide information about the behaviour, profile, payment patterns, indebtedness, whereabouts, and creditworthiness of the consumer / debtor to any registered credit bureau or to any supplier, service or credit provider (or potential credit provider) seeking a trade reference regarding the consumer’s/debtor’s dealings with the supplier, service and/or credit provider.Agreement: *I/We have read and agree to the terms of the agreement listed below.Agreement between Frontline Christian School and "BIOLOGICAL PARENT / LEGAL GUARDIAN 1" and "BIOLOGICAL PARENT / LEGAL GUARDIAN 2" (name of parent 2/ guardian 2 as detailed in the form above) with regards to the payment of school fees. a. Accept responsibility for the payment of the full annual fees for above child. b. I agree that the annual fees are payable in advance over 11 months by the 3rd of each month. (3 January – 3 November) c. I agree to inform the Principal in writing if I am unable to pay the fees. My child’s admission will be secured for one (1) month d. I understand that the school will take the necessary legal steps to recover any outstanding fees. e. I agree to give one (1) calendar months’ notice should my child no longer attend school. In the last term, I undertake to give notice in October as November doesn’t serve as a notice month. f. I declare that the forms have been completed correctly. I have read and understand the acceptance requirements and school rules. g. I hereby commit to payment via either d6 App, Internet Transfer/EFT or Debit Order.Agreement: *I/We have read and agree to the terms of the agreement listed below.1. I/We, the parents/guardians, hereby give permission that he/she may participate in all academic, sport and culture activities present by the school in an organised manner. To participate in tests conducted by the school support team with the object if improvement in school work and to identify other problems. 2. I grant permission that my child may be transported by a public bus company approved by the school management. If there is only a small group of learners that needs to be transported, parents / teachers with valid driver’s licences may be asked to transport them. 3. I accept that all reasonable precautions will be taken for the safety and wellbeing of my child and that I will be held responsible for the the payment of the medical / or hospital fees if enforced upon, in case of an injury which cannot be ascribed to the responsible personnel’s coarse negligence. 4. I hereby delegate my powers as parent / guardian to the Principal of the school or representative if medical or surgical treatment may be needed for my child. As far as I know, he/she is physically able to participate in any organised activities and resides in good health. 5. I confirm that all medical information supplied in the Learner Information section of this form is accurate and complete. This information may be used in case of an emergency. 6. I undertake to inform the school if any of the above information may change. 7. I undertake to support my child to obey the Code of Conduct and the disciplinary system of Frontline Christian School as included in the Policy of the school. 8. I hereby confirm that the school is allowed to use imagery of my child in any publication, in any format.Please enter your ID / Passport number - this will serve as binding consent.Parent One - Identity Number / Passport Number *Parent Two - Identity Number / Passport Number *Witness - Identity Number / Passport Number *Date / Time *DateTimePreviousNameSubmit Application Form