Super Tots Crèche Application Form

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Student's Personal Information

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Person dropping student at school

 
 
Person collecting student from school

 
 
Student's Medical Details

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Doctor

 
 
 
 
Medical Aid

 
 
 
 
 
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Medical Consent

In a critical medical situation, please bear in mind that there may not be time to refer to the student's medical records.


Super Tots Crèche therefore reserves the right to utilise the quickest medical service available. The undersigned, being the Parent / Guardian of the student hereby agree that a medical practitioner may provide emergency treatment as may be necessary.

 
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Details of Father / Stepfather / Guardian

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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Details of Mother / Stepmother / Guardian

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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Additional Contact

 
 
 
 
 
 
Terms and Conditions

I, the undersigned, hereby certify that the information given by me in this Application for Admission is complete and accurate.

I also agree to the conditions set out herein. I accept that Super Tots Crèche is based on Christian principles and undertake that this will not be undermined. I understand that the prescribed number of students per class may be exceeded.
 
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Account Holder

Please note the following Payment Terms:

- Fees are payable monthly, in advance on, or before the First (1st) of every calendar month.
- Fees can also be paid annually, in advance on, or before the Thirty First (31st) of January. (5% discount)
- Super Tots Crèche reserves the right to charge interest on all accounts in arrears with 30 days or longer.
- Fee increases will take place in January.
- The Enrolment Fee is a once-off and non-refundable fee.
- If the Account Holder neglects to pay the account, Super Tots Crèche may refuse the student access to the school.
- Notice: The Account Holder undertakes to give Two (2) calendar months' notice of termination of the enrolment of the student, failing which the liability be incurred for the full amount of the following month's fee.
- Notice can unfortunately not be given during the fourth term.

I, the undersigned, hereby certify that the information given by the Account Holder in this Application for Admission is complete and accurate.

I accept full responsibility and liability for the punctual payment of the once-off, non-refundable Enrolment Fee as well as the punctual payment of Super Tots Crèche fees.

 
 
 
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General Indemnity

The Crèche and the Super Tots (Pty) Ltd Board of Directors undertake to implement reasonable and generally acceptable measures with regard to the safety and wellbeing of all students, educators, and visitors to the Crèche. Due to the nature of the matter, the Crèche and the Super Tots (Pty) Ltd Board of Directors do not accept any responsibility for incidents that may take place in the class, on the playgrounds or in the building. 
Each Parent is therefore requested to complete the section below as proof that you accept the position of the Crèche and the Super Tots (Pty) Ltd Board of Directors as set out above as well as the risks involved therewith. 
Hereby, the undersigned, the Parent / Legal Guardian of the student who is enrolled as such and accepted by the Crèche, subject to the terms set out herein, indemnify the Crèche and the Super Tots (Pty) Ltd Board of Directors of the Super Tots (Pty) Ltd (Reg Nr 2019/047569/07) for any losses or damages in general, however, they may occur, that I as Parent / Legal Guardian of the student may suffer as a result of any occurrence whereby the student may be involved, whether as the causing or suffering party, whilst participating in any crèche activity. 
In particular, I authorize that the aforesaid student may be involved in all excursions undertaken by his / her group or class during crèche days as part of his / her learning experience and, where applicable, I agree that he / she may utilize the transport arranged by the Crèche for such excursions. I also indemnify the Crèche and the Super Tots (Pty) Ltd Board of Directors for any damages or losses that I as Parent / Legal Guardian of the student may suffer under such circumstances and voluntarily accepts the risks associated therewith. 
In the event of the student making use of a bus service to and from the Crèche, I acknowledge that I am aware that such service is operated by an independent contractor and that neither the Crèche nor the Super Tots (Pty) Ltd Board of Directors accept any responsibility, therefore. The Super Tots (Pty) Ltd Board of Directors will, however, in awarding the right to operate the service, lay down certain conditions to ensure that the transport company complies with safety regulations and that the driver is of sober habits and experienced with a proven and unblemished record.

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Required Supporting Documentation

We require the following Supporting Documentation:

- Copy of student's Birth Certificate.
- Copy of Parents / Guardian's ID documents.
Permission to use photos

I understand and acknowledge that, from time to time, informal photographs are taken of the school and its' students, and that these photos may be used in electronic or print media which has been approved by Super Tots Crèche.
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POPI Act

I hereby give consent for my details to be used by Super Tots Crèche to inform me of any school matters, newsletters and upcoming events. 
We agree to keep your personal information safe and secure. 
For more information on how to protect your data, please read our Privacy Policy, available on our website: https://cecapetownnorth.org/privacy-policy/

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Description

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