Application Form – Melkbos Pre Primary

APPLICATION FORM | AANSOEKVORM

LEARNER INFORMATION / LEERDERINLIGTING

Date of Birth / Geboortedatum: *

I.D. Number: (copy of birth certificate to be submitted) *

Year of desired enrolment / Jaar waarop toelating verlang word: *

Age / Ouderdom *

Full name and surname of learner: / Leerder se volle naam en van: *

Callname / Noemnaam *

Sibling currently in this school: / Gesinslede huidiglik in skool: *

Gender / Geslag: (Learner/Leerder) *

Street Address *

City

State/Province

ZIP / Postal Code

Email / Epos #1: *

Email / Epos #2:

Religion / Kerkverband:

Previous school / playgroup: | Vorige skool / speelgroep:

Emergency tel / name: | Noodgeval no / naam: *

Allergies / Conditions / Illnesses: | Allergieë / Kondisies / Siektes:

Name of family doctor/Naam van huisdokter:

Number of family doctor / nommer van huisdokter:

PLEASE NOTE THAT MELKBOS PRE-PRIMARY SCHOOL IS ONE OF MANY FEEDER SCHOOLS TO VAN RIEBEECKSTRAND PRIMARY SCHOOL HENCE/BUT THIS DOES NOT GUARANTEE YOU A PLACE IN THEIR GRADE 1 INTAKE

First Name of Parent *

Last Name of Parent

I acknowledge the above statement: *I acknowledge

WESTERN CAPE EDUCATION DEPARTMENT / WES-KAAP ONDERWYSDEPARTEMENT

INDEMNITY FORM (EXTRA-MURAL ACTIVITIES AND EDUCATIONAL EXCURSIONS) / VRYWARINGSVORM (Buitemuurse aktiwiteite en opvoedkundige uitstappies)I hereby grant permission for my child: (Name of learner) to attend all types of extra-mural activities and educational excursions during the year. I hereby declare that I shall not hold Melkbosstrand Pre-primary School or the Administration of the Western Cape Education Department liable for any damage or injury sustained by my child, while my child is involved in any extra- mural activity or educational excursion arranged by the said school. I also undertake to indemnify the said Administration or the bona fide representatives of Melkbosstrand Pre-primary School against all claims by me or any third parties arising from any cause of action whatsoever and will not hold the school or its representatives liable for any injury or loss or any damages consequent hereto sustained whilst my child is in their care. I accept that the principal and her staff will take every reasonable precaution to ensure the safety of my child. I accept that my child will adhere to all the prescribed norms, rules and regulations while participating in any activity. | Hiermee verleen ek toestemming aan my kind: (Naam van leerder) om aan alle vorme van buitemuurse aktiwiteite en opvoedkundige uitstappies deel te neem. Hiermee verklaar ek dat ek nie Melkbosstrand Preprimêre Skool of sy bona fide verteenwoordiger of die Wes-Kaapse Onderwysdepartement aanspreeklik sal hou vir enige skade of beserings wat my kind mag opdoen tydens ‘n buitemuurse aktiwiteit of opvoedkundige uitstappie gereël deur gemelde skool nie. Ook onderneem ek om die gemelde Administrasie of die bona fide verteenwoordigers van die Melkbosstrand Voorbereidingskool te vrywaar teen alle eise deur my of ander persone wat mag ontstaan as gevolg van beserings of verliese wat opgedoen mag word terwyl my kind in hulle sorg is. Ek aanvaar dat die hoof en die personeel alles binne hulle vermoë sal doen om die veiligheid van my kind te verseker. Ek aanvaar dat my kind tydens die aktiwiteit aan die voorsiende norme, reëls en voorskrifte, gehoorsaam sal wee

NAME OF PARENT / LEGAL GUARDIAN | NAAM VAN OUER / VOOG *

DATE / DATUM *

PROTECTION OF PERSONAL INFORMATION ACT (POPI ACT) | WET OP BESKERMING VAN PERSOONLIKE INLIGTING (POPI-WET)

The POPI Act prohibits members of WhatsApp Groups from sharing personal information of other members without permission. From 1 July 2021 it is a criminal offence to do so. In terms of the POPI Act, the following Disclaimer is shared, as with all WhatsApp Groups, as they need to adhere to the Act from 1 July 2021. As per the POPI Act Administrators are required to obtain your consent for being part of a WhatsApp group. As such, you are herewith notified that you are entitled to refuse such consent and you may exercise such a right by leaving the Melkbos Pre-Primary school or Melkbos Pre-Primary class WhatsApp group. Should you elect to remain in the abovementioned groups, it will be accepted that you have consented to being a part of this group and to your personal information (being your cell phone number and name) being noticeable to any person in the group and may not be shared. In this regard, we request all Parents not to make use of such personal information for whatsoever reason, without obtaining the consent of the relevant person. Please sign below in acknowledgement of the above message | Die POPI -Wet verbied lede van WhatsApp Groepe om persoonlike inligting van ander lede sonder toestemming te deel. Vanaf 1 Julie 2021 is dit ‘n kriminele oortreding om dit te doen. Ingevolge die POPI-Wet word die volgende Disclaimer gedeel, soos met alle WhatsApp-groepe, aangesien hulle vanaf 1 Julie 2021 by die wet moet hou. Volgens die POPI-wet moet administrateurs u toestemming verkry om deel te wees van ‘n WhatsApp-groep. As sodanig word u hiermee in kennis gestel dat u geregtig is om sodanige toestemming te weier en u mag so ‘n reg uitoefen deur die Melkbos Pre-Primêre Skool of klas WhatsApp-groep te verlaat. As u verkies om in die bogenoemde groepe te bly, sal u aanvaar dat u toestemming het om deel van hierdie groep te wees en dat u persoonlike inligting (naamlik u selfoonnommer en naam) opmerklik is vir enige persoon in hierdie groep en nie gedeel mag word nie. In hierdie verband versoek ons alle ouers om nie om watter rede ook al van sulke persoonlike inligting gebruik te maak sonder om die toestemming van die betrokke persoon te verkry nie. Teken hieronder as erkenning vir bogenoemde boodskap asseblief.

Name/s and signature/s of responsible parent/s or guardians/s:

1. Name / Naam *

2. Name / Naam

1. Date / Datum *

2. Date / Datum

APPLICATION FORM | AANSOEKVORM

Quick Links

Newsletters

Address

Get In Touch