Apple-Tree-Montessori | Online Application

Please complete this form in full, fields marked with a * are required.

Proposed Start Date Term : *

Of Year : *

Proposed Start Date :

STUDENT DETAILS

Student's First Name *

Student's Last Name *

Student's Preferred Name (optional)

Student's Gender *

Male Female

Student's Date Of Birth *

Student's ID or Passport Number *

Nationality *

Race *

Religion

Home Language *

Allergies *

Allergy Action Required

Allergy Status *

Compulsory Immunisations Up to date *

Medical Aid Scheme

Medical Aid Number

Primary Members Details

Disclose whether your child suffers from any of the following conditions:

Emotional Issues Medical Conditions Psychological Problems Social Issues Previous Therapies or Recommendations Other

Home Medication

SIBLINGS

Select Number Of Siblings *

PREVIOUS SCHOOL DETAILS

School Name if applicable

Reason For Leaving

PARENT / GUARDIAN 1 DETAILS

Relationship To Student *

Title *

First Name *

Last Name *

Email *

Home Phone Number

Mobile Phone Number *

Work Number

Address *

Nationality *

Parent Date of Birth

ID Number/Passport Number *

Marital Status *

Does The Student Reside With You? *

Occupation

Position

Employer's Name

Employer's Number

Did You Attend This School

If Yes What Year Did You Leave

PARENT / GUARDIAN 2 DETAILS

Relationship To Student

Title *

First Name *

Last Name *

Email *

Home Phone Number

Mobile Phone Number *

Work Number

Address*

Nationality *

Parent Date of Birth

ID Number/Passport Number *

Marital Status

Does The Student Reside With You? *

Occupation

Position

Employer's Name

Employer's Number

Did Parent 2 Attend This School

If Yes What Year Did They Leave.

OTHER CONTACTS

Doctor's Name *

Doctor's Phone Number *

Approved Pick Up Name

Approved Pick Up Phone Number

Their ID Number

Second Approved Pick Up Name

Second Approved Pick Up Phone Number

Their ID Number

Emergency Contact *

Emergency Contact Phone Number *

Second Emergency Contact

Second Emergency Contact Phone Number

Person Responsible For Account *

Enter Their Mobile Number *

Person Responsible Email Address*

DAILY OPTIONS

Early Care -

Half Day -

Full Day -

Lunch -

MEDIA CHANNEL PERMISSIONS

Do you consent to your child appearing in all School related media? *

LETTER MOTIVATING WHY THIS IS YOUR SCHOOL OF CHOICE

Maximum of 500 Characters

SUPPORTING DOCUMENTS

Student's Unabridged Birth Certificate *

Supported files : .jpg, .jpeg, .png

Parent 1 ID / Passport

Supported files : .jpg, .jpeg, .png

Parent 2 ID / Passport

Supported files : .jpg, .jpeg, .png

Proof Of Address

Supported files : .jpg, .jpeg, .png, pdf, doc, docx

Proof of Payment *
(Administration fee)

Supported files : .jpg, .jpeg, .png, pdf, doc, docx

Student Immunization Record

Supported files : .jpg, .jpeg, .png, pdf, doc, docx

ADDITIONAL INFORMATION

Terms and Conditions:

Annual payments made upon enrolment qualify for a 5% discount. Apple Tree Montessori reserves the right to charge a 10% fine on accounts paid after 3rd of the month. R100 late pick up fee for every 30 minutes after 1pm and 5pm.

Apple Tree Montessori

First National Bank

Business Account

62837572769

250655