Lots 2 Learn Online Registration

Preschool Registration Form

Takes about 5 minutes to complete

Preferred Preschool Branch (Please choose one)

Karenpark Mamelodi

LEARNER'S PERSONAL DETAILS

Child's Name

Date of Birth

Current Age

Gender

Boy Girl

Learner's Strength

Learner's Weaknesses

LEARNER'S HOME ADDRESS

LEARNER'S MEDICAL DETAILS

Does your child suffer from any allergies, illness, disability or other medical conditions?

Yes No

Details of Child’s allergies or existing medical conditions

Prescribed Medication

Supplementary/ Alternative Medication

Child's Doctor's/GP Name

Child's Doctor's/GP Phone Number

Child's Medical Aid Name

Madical Aid Number

Main Member Name

Main Member Number

LEARNER'S ENROLMENT DETAILS

Proposed Start Date:

Preferred Preschool Session (please tick where appropriate)

Morning Afternoon

2. PARENTS / GUARDIAN'S DETAILS

Who is responsible for the Child’s preschool account? Please note that both Parents/Guardian(s) are responsible for the Child’s school fees.

MATERNAL PARENT'S DETAILS

Mother's Name

Mother's Phone Number

Mother's ID

Mother's Email Address

Mother's Occupation

Mother's Work Phone Number

MOTHER'S HOME & WORK ADDRESS

Is Mother's Home Address The Same as Child's Address:

Yes No

Mother's Home Address

Mother's Work Address

PATERNAL PARENT'S DETAILS

Father's Name

Father's Phone Number

Father's ID

Father's Email Address

Father's Occupation

Father's Work Phone Number

FATHER'S HOME & WORK ADDRESS

Is Father's Address The Same as Child's Address:

Yes No

Father's Home Address

Father's Work Address

EMERGENCY CONTACT DETAILS

Emergency Contact Name

Emergency Cellphone Number

Relationship with Child

Emergency Alternative Cellphone Number

Emergency Contact Home Address

Emergency Contact Work Address

Emergency Work Phone Number

Emergency Alternative Work Phone Number

Authorised Alternative Person to Collect Child from School

Authorised Alternative Person Contact Number

DOCUMENTS UPLOAD

Copy of Certified Child's Birth Certificate

Most Recent Photo of A Child

Copy of Child's Updated Clinic Card

Copy of Mother's ID (or Step Mother / Female Guardian)

Copy of Father's ID (or Step Father / Male Guardian)

Proof of Home Address

Copy of Medical Aid Card and Allergies of child (If Applicable)

IMPORTANT NOTICE:

After submitting this registration form, you will be redirected to the next page, where the Preschool's Banking Details will be provided for your reference. If you need these details at a later stage, please feel free to request them from our administration office.

PARENT/GUARDIAN DECLARATION

I agree (By Clicking "Agree") and confirm that the information provided in this application is accurate and complete. I also acknowledge that all details submitted to Lots 2 Learn (Pty) Ltd (Lots 2 Learn Preschool) will be subject to this policy.

Furthermore, I confirm that I have read and understood the Lots 2 Learn Preschool Policy, including any additional clarifications provided by the service provider (LOTS 2 LEARN PRESCHOOL).

Acceptance of Terms

Agree

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Lots 2 Learn Preschool is dedicated to nurturing young minds through a holistic and play-based curriculum. Our passionate educators create a safe, inclusive, and stimulating environment where children thrive.

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PRE SCHOOLS

REGISTRATIONS

The PreSchool

Karenpark Preschool

Mamelodi Preschool

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