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Reg. No. CK87/17906/23

PERSONAL INFORMATION

Full name of child Boy / Girl Date of birth Home telephone number Home address E Mail Date of enrolment

Full day

half day

The personal information listed above may change from time to time. In the interests of your child’s safety we request in such a circumstance that you, the parent and guardian of your child, keep the school informed of such changes.

1.

Name of person responsible for fetching the child from school:

………………………………………………………………………………………

2.

In the case of divorced parents written consent must be given by the child’s legal guardian for the former spouse to collect the child. I, (name of legal guardian of

child enrolling)…..………………………………., do hereby grant consent for my

child/children to be collected by ……………………..…………, and undertake to keep the school informed should I withdraw this consent at any time.

  • 3.

    If you deviate from this at any time, you must telephone the school to let us know of the alternative arrangements being made. We will not allow any child to go home with anyone without prior consent from the parent’s

  • 4.

    The school closes at 18h00 .In the unlikely event that you are delayed, and are not able to fetch your child by the 18h00 cut off time, you are to contact a relative or friend to collect your child/children. Please ensure that you have a back-up system planned.

I, in the capacity as parent/guardian of my child have read the notice and the four points above, and do hereby agree that it is in the interest of my child that I abide by what has been stated therein.

Signed:

_________________________________________________________________

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

20 Jarra Street Sharonlea Tel/Fax 011-4621810

71 Ebberhout Street Sharonlea Tel/ Fax/011-7041030 kerri@sharonleachildcare.co.za rita@sharonleachildcare.co.za

P.O.Box 527 Olivedale 2158

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